ELLIOT M RAZDOLSKY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****49

License Status

NOT RENEWED

Business

First Name

ELLIOT M

Last Name

RAZDOLSKY

Suffix

DDS

Business Name

ELLIOT M RAZDOLSKY DDS

Original Issue Date

05/20/1992

Effective Date

05/20/1992

Expiration Date

09/30/2004

City

CHICAGO

State

Zip

60659

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005