SARA ZEIDAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****79

License Status

NOT RENEWED

Business

First Name

SARA

Last Name

ZEIDAN

Business Name

SARA ZEIDAN

Original Issue Date

06/21/2017

Effective Date

06/12/2018

Expiration Date

01/31/2022

City

SOUTH SAN FRANCISCO

State

Zip

94080

County

CALIFORNIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022