PAVEL DETCHEV SVILENOV DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****93

License Status

NOT RENEWED

Business

First Name

PAVEL

Middle

DETCHEV

Last Name

SVILENOV

Suffix

DMD

Business Name

PAVEL DETCHEV SVILENOV DMD

Original Issue Date

09/15/2005

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009