LARRY ROUPEN FARSAKIAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****20

License Status

NOT RENEWED

Business

First Name

LARRY

Middle

ROUPEN

Last Name

FARSAKIAN

Suffix

DDS

Business Name

LARRY ROUPEN FARSAKIAN DDS

Original Issue Date

09/17/1984

Effective Date

09/17/1984

Expiration Date

09/30/1992

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005