ZOYA S SIPEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****74

License Status

NOT RENEWED

Business

First Name

ZOYA S

Last Name

SIPEN

Business Name

ZOYA S SIPEN

Original Issue Date

01/27/1995

Effective Date

01/27/1995

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60641

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

11/08/2006