MILAN SUSINA 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

MILAN

Last Name

SUSINA

Suffix

DDS

Business Name

MILAN SUSINA DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1984

City

GENOA

State

Zip

60135

County

DEKALB

Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

10/13/2005