ANASTASIA MOSPANOVA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

NOT RENEWED

Business

Title

DDS

First Name

ANASTASIA

Last Name

MOSPANOVA

Business Name

ANASTASIA MOSPANOVA DDS

Original Issue Date

11/14/2019

Effective Date

11/14/2019

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60654

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022