INNA KOTLYARENKO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****79

License Status

NOT RENEWED

Business

First Name

INNA

Last Name

KOTLYARENKO

Suffix

DDS

Business Name

INNA KOTLYARENKO DDS

Original Issue Date

05/20/1996

Effective Date

05/20/1996

Expiration Date

09/30/1998

City

CHICAGO

State

Zip

60625

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005