SHLAIMON T SAWA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****68

License Status

NOT RENEWED

Business

First Name

SHLAIMON T

Last Name

SAWA

Suffix

DDS

Business Name

SHLAIMON T SAWA DDS

Original Issue Date

03/29/1984

Effective Date

03/29/1984

Expiration Date

09/30/1990

City

CHICAGO

State

Zip

60618

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005