SAMEET SHYAM KOPPIKAR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****24

License Status

NOT RENEWED

Business

First Name

SAMEET

Middle

SHYAM

Last Name

KOPPIKAR

Suffix

DDS

Business Name

SAMEET SHYAM KOPPIKAR DDS

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

09/30/2006

City

EVANSTON

State

Zip

60202

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/10/2007