ELIZABETH SZROM-GAVIN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****48

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Last Name

SZROM-GAVIN

Business Name

ELIZABETH SZROM-GAVIN

Original Issue Date

09/28/1998

Effective Date

09/22/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60610

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018