KAYA AYGEN DMD Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

CANCELLED

Business

First Name

KAYA

Last Name

AYGEN

Suffix

DMD

Business Name

KAYA AYGEN DMD

Original Issue Date

09/05/2003

Effective Date

09/05/2003

Expiration Date

09/30/2004

City

CHICAGO

State

Zip

60654

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005