ELENA SLAVIN MARCOTTE DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****48

License Status

ACTIVE

Business

Title

DMD

First Name

ELENA

Middle

SLAVIN

Last Name

MARCOTTE

Business Name

ELENA SLAVIN MARCOTTE DMD

Original Issue Date

08/15/2024

Effective Date

08/15/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/15/2024