THEODORE SEWITCH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****92

License Status

NOT RENEWED

Business

First Name

THEODORE

Last Name

SEWITCH

Business Name

THEODORE SEWITCH

Original Issue Date

01/05/1983

Effective Date

01/05/1983

Expiration Date

09/30/1984

City

NEW YORK

State

Zip

10028

County

NEW YORK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005