IRINA VICTORIA GANZMAN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****40

License Status

ACTIVE

Business

Title

DMD

First Name

IRINA

Middle

VICTORIA

Last Name

GANZMAN

Business Name

IRINA VICTORIA GANZMAN DMD

Original Issue Date

06/21/2016

Effective Date

05/14/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/14/2024