JOHN STEPHEN SCOVIC DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****95

License Status

NOT RENEWED

Business

First Name

JOHN STEPHEN

Last Name

SCOVIC

Suffix

DDS

Business Name

JOHN STEPHEN SCOVIC DDS

Original Issue Date

04/16/1996

Effective Date

04/16/1996

Expiration Date

09/30/2002

City

CHICAGO

State

Zip

60607

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005