ELIOT JAMES VILDAVER DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****68

License Status

ACTIVE

Business

Title

DMD

First Name

ELIOT

Middle

JAMES

Last Name

VILDAVER

Business Name

ELIOT JAMES VILDAVER DMD

Original Issue Date

02/01/2017

Effective Date

08/10/2024

Expiration Date

09/30/2027

City

THIRD LAKE

State

Zip

60030

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/10/2024