RITA ESTEPHAN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****97

License Status

NOT RENEWED

Business

Title

DMD

First Name

RITA

Last Name

ESTEPHAN

Business Name

RITA ESTEPHAN DMD

Original Issue Date

08/28/2014

Effective Date

08/28/2014

Expiration Date

09/30/2015

City

STATEN ISLAND

State

Zip

10305

County

NEW YORK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016