ELIZABETH SZROM-GAVIN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****77

License Status

ACTIVE

Business

First Name

ELIZABETH

Last Name

SZROM-GAVIN

Business Name

ELIZABETH SZROM-GAVIN

Original Issue Date

11/23/1987

Effective Date

09/04/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60630

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/04/2024