ELLIOT M RAZDOLSKY DDS 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

ELLIOT M

Last Name

RAZDOLSKY

Suffix

DDS

Business Name

ELLIOT M RAZDOLSKY DDS

Original Issue Date

09/05/1991

Effective Date

09/05/1991

Expiration Date

09/30/1992

City

MORTON GROVE

State

Zip

60053

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/13/2005