MISHA JANE IVETICH DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****55

License Status

ACTIVE

Business

First Name

MISHA

Middle

JANE

Last Name

IVETICH

Suffix

DDS

Business Name

MISHA JANE IVETICH DDS

Original Issue Date

10/26/2004

Effective Date

09/27/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/27/2024