ARDA ANN PAYLAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****36

License Status

NOT RENEWED

Business

First Name

ARDA

Middle

ANN

Last Name

PAYLAN

Business Name

ARDA ANN PAYLAN

Original Issue Date

06/27/2011

Effective Date

09/05/2012

Expiration Date

09/30/2015

City

SKOKIE

State

Zip

60077

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016