YELENA M REVICH DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****37

License Status

ACTIVE

Business

First Name

YELENA

Middle

Last Name

REVICH

Suffix

DDS

Business Name

YELENA M REVICH DDS

Original Issue Date

07/02/2014

Effective Date

08/18/2024

Expiration Date

09/30/2027

City

DES PLAINES

State

Zip

60016

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

08/18/2024