BONITA R BRANCH-YAPA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****90

License Status

NOT RENEWED

Business

First Name

BONITA R

Last Name

BRANCH-YAPA

Suffix

DDS

Business Name

BONITA R BRANCH-YAPA DDS

Original Issue Date

02/24/1992

Effective Date

02/24/1992

Expiration Date

09/30/1992

City

SKOKIE

State

Zip

60076

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/13/2005