TATYANA KHAIT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****41

License Status

NOT RENEWED

Business

First Name

TATYANA

Last Name

KHAIT

Suffix

DDS

Business Name

TATYANA KHAIT DDS

Original Issue Date

03/24/2006

Effective Date

03/24/2006

Expiration Date

09/30/2006

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006