KSENIA ANDRONOVA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****95

License Status

ACTIVE

Business

First Name

KSENIA

Last Name

ANDRONOVA

Suffix

DDS

Business Name

KSENIA ANDRONOVA DDS

Original Issue Date

06/20/2006

Effective Date

08/14/2024

Expiration Date

09/30/2027

City

SKOKIE

State

Zip

60077

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/14/2024