IGOR BOTVINNIK DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****46

License Status

ACTIVE

Business

First Name

IGOR

Last Name

BOTVINNIK

Suffix

DDS

Business Name

IGOR BOTVINNIK DDS

Original Issue Date

12/09/1999

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

MORTON GROVE

State

Zip

60053

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024