LARRY ROUPEN FARSAKIAN DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****22

License Status

CANCELLED

Business

First Name

LARRY

Middle

ROUPEN

Last Name

FARSAKIAN

Suffix

DDS

Business Name

LARRY ROUPEN FARSAKIAN DDS

Original Issue Date

10/09/1990

Effective Date

10/09/1990

Expiration Date

09/30/1992

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005