SIMON BOYARSKIY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****91

License Status

NOT RENEWED

Business

First Name

SIMON

Last Name

BOYARSKIY

Suffix

DDS

Business Name

SIMON BOYARSKIY DDS

Original Issue Date

04/06/1998

Effective Date

04/06/1998

Expiration Date

09/30/2000

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005