TASOS TIMOTHEOU PAVLOU Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****47

License Status

NOT RENEWED

Business

First Name

TASOS TIMOTHEOU

Last Name

PAVLOU

Business Name

TASOS TIMOTHEOU PAVLOU

Original Issue Date

09/04/1985

Effective Date

09/04/1985

Expiration Date

09/30/1988

City

CHICAGO

State

Zip

60636

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005