IRINA BOLOTNIKOVA-BOTVINNIK DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****77

License Status

ACTIVE

Business

First Name

IRINA

Last Name

BOLOTNIKOVA-BOTVINNIK

Suffix

DDS

Business Name

IRINA BOLOTNIKOVA-BOTVINNIK DDS

Original Issue Date

10/21/1998

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

MORTON GROVE

State

Zip

60053

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024