SERGEI YURYK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****77

License Status

NOT RENEWED

Business

First Name

SERGEI

Last Name

YURYK

Business Name

SERGEI YURYK

Original Issue Date

07/24/2006

Effective Date

07/23/2009

Expiration Date

09/30/2012

City

PLAINFIELD

State

Zip

60544

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012