GENNADY ORLOVETSKY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****92

License Status

NOT RENEWED

Business

First Name

GENNADY

Last Name

ORLOVETSKY

Suffix

DDS

Business Name

GENNADY ORLOVETSKY DDS

Original Issue Date

10/04/2000

Effective Date

10/04/2000

Expiration Date

09/30/2004

City

CHICAGO

State

Zip

60607

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005