Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****38

NOT RENEWED

N

TAMIM

M

SIFRI

DDS

TAMIM M SIFRI DDS

09/19/2005

10/31/2005

09/30/2006

SYCAMORE

IL

60178

DEKALB

PRACTITIONER

II III IV V

N

11/08/2006