VLADANA BABCIC TAL DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****39

License Status

NOT RENEWED

Business

First Name

VLADANA

Middle

BABCIC

Last Name

TAL

Suffix

DMD

Business Name

VLADANA BABCIC TAL DMD

Original Issue Date

07/22/2010

Effective Date

09/11/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60607

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/25/2022