ERIN N KOPICKI DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****96

License Status

NOT RENEWED

Business

First Name

ERIN

Middle

Last Name

KOPICKI

Suffix

DMD

Business Name

ERIN N KOPICKI DMD

Original Issue Date

07/18/2011

Effective Date

07/18/2011

Expiration Date

09/30/2012

City

FARMINGTON HILLS

State

Zip

48334

County

MICHIGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012