SODABEH ETMINAN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****32

License Status

NOT RENEWED

Business

Title

DMD

First Name

SODABEH

Last Name

ETMINAN

Business Name

SODABEH ETMINAN DMD

Original Issue Date

10/20/2009

Effective Date

10/20/2009

Expiration Date

09/30/2012

City

SHOREWOOD

State

Zip

60431

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012