ALLAN DAVID KLENETSKY DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****87

License Status

INACTIVE

Business

First Name

ALLAN DAVID

Last Name

KLENETSKY

Suffix

DMD

Business Name

ALLAN DAVID KLENETSKY DMD

Original Issue Date

01/01/1998

Effective Date

08/08/2018

Expiration Date

12/31/2021

City

SKOKIE

State

Zip

60076

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/25/2021