NSE EKPENYONG DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****94

License Status

ACTIVE

Business

First Name

NSE

Last Name

EKPENYONG

Suffix

DDS

Business Name

NSE EKPENYONG DDS

Original Issue Date

07/06/2009

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/20/2024