DAVID S KRAVTSOV DDS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049086398

License Status

NOT RENEWED

Business

First Name

DAVID S

Last Name

KRAVTSOV

Suffix

DDS

Business Name

DAVID S KRAVTSOV DDS

Original Issue Date

04/16/1988

Effective Date

04/16/1988

Expiration Date

03/31/1993

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005

Case Number

1989004062

Action

Probation

Discipline Start Date

01/30/1990

Discipline End Date

07/30/1990