TANYA GUREVICH DDS 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

TANYA

Last Name

GUREVICH

Suffix

DDS

Business Name

TANYA GUREVICH DDS

Original Issue Date

09/17/1997

Effective Date

09/17/1997

Expiration Date

09/30/2000

City

SKOKIE

State

Zip

60076

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005