STEVEN MICHAEL SHIPKA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****99

License Status

NOT RENEWED

Business

First Name

STEVEN MICHAEL

Last Name

SHIPKA

Suffix

DDS

Business Name

STEVEN MICHAEL SHIPKA DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2006

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006