IGOR RISTEVSKI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****43

License Status

NOT RENEWED

Business

Title

DDS

First Name

IGOR

Last Name

RISTEVSKI

Business Name

IGOR RISTEVSKI DDS

Original Issue Date

12/06/2017

Effective Date

09/19/2018

Expiration Date

01/31/2022

City

CROWN POINT

State

Zip

46307

County

INDIANA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022