KLEOPATRA KOYFMAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****46

License Status

NOT RENEWED

Business

First Name

KLEOPATRA

Last Name

KOYFMAN

Suffix

DDS

Business Name

KLEOPATRA KOYFMAN DDS

Original Issue Date

05/26/1995

Effective Date

05/26/1995

Expiration Date

09/30/1996

City

GRANITE CITY

State

Zip

62040

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005