SERGEY PETEOVICH PILICH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013988

License Status

NOT RENEWED

Business

First Name

SERGEY

Middle

PETEOVICH

Last Name

PILICH

Business Name

SERGEY PETEOVICH PILICH

Original Issue Date

07/10/2012

Effective Date

06/25/2015

Expiration Date

09/30/2018

City

COON RAPIDS

State

Zip

55448

County

MINNESOTA

Ever Disciplined

LastModifiedDate

10/31/2018