LAURIE REBECCA SLAVIK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****82

License Status

NOT RENEWED

Business

First Name

LAURIE

Middle

REBECCA

Last Name

SLAVIK

Suffix

DDS

Business Name

LAURIE REBECCA SLAVIK DDS

Original Issue Date

09/25/2000

Effective Date

09/25/2000

Expiration Date

09/30/2002

City

WHEATON

State

Zip

60187

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005