TERESA RONCEVICH 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

TERESA

Last Name

RONCEVICH

Suffix

DDS

Business Name

TERESA RONCEVICH DDS

Original Issue Date

01/03/2001

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

PAXTON

State

Zip

60957

County

FORD

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009