SASHA D KUPERSHMIDT DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****57

License Status

NOT RENEWED

Business

Title

DMD

First Name

SASHA

Middle

Last Name

KUPERSHMIDT

Business Name

SASHA D KUPERSHMIDT DMD

Original Issue Date

07/09/2020

Effective Date

07/09/2020

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60610

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/09/2022