DAVID T CYPIN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****58

License Status

NOT RENEWED

Business

First Name

DAVID T

Last Name

CYPIN

Suffix

DDS

Business Name

DAVID T CYPIN DDS

Original Issue Date

01/01/1998

Effective Date

07/12/2012

Expiration Date

09/30/2015

City

MARION

State

Zip

62959

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016