VICTOR PAVLYCH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****81

License Status

NOT RENEWED

Business

First Name

VICTOR

Last Name

PAVLYCH

Suffix

DDS

Business Name

VICTOR PAVLYCH DDS

Original Issue Date

06/28/2005

Effective Date

06/28/2005

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60638

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006