SHLAIMON T SAWA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****69

License Status

NOT RENEWED

Business

First Name

SHLAIMON T

Last Name

SAWA

Suffix

DDS

Business Name

SHLAIMON T SAWA DDS

Original Issue Date

02/24/1989

Effective Date

02/24/1989

Expiration Date

09/30/2002

City

CHICAGO

State

Zip

60626

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005