IGOR LUBAEV DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****89

License Status

NOT RENEWED

Business

First Name

IGOR

Last Name

LUBAEV

Suffix

DDS

Business Name

IGOR LUBAEV DDS

Original Issue Date

09/22/1997

Effective Date

09/22/1997

Expiration Date

09/30/1998

City

CHICAGO

State

Zip

60659

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005