ZOYA S SIPEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****73

License Status

NOT RENEWED

Business

First Name

ZOYA S

Last Name

SIPEN

Business Name

ZOYA S SIPEN

Original Issue Date

05/16/1988

Effective Date

05/16/1988

Expiration Date

09/30/1996

City

CHICAGO

State

Zip

60641

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/20/2009