TARAS W SHPIKULA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****53

License Status

NOT RENEWED

Business

First Name

TARAS W

Last Name

SHPIKULA

Suffix

DDS

Business Name

TARAS W SHPIKULA DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1990

City

LENA

State

Zip

54139

County

WISCONSIN

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

10/13/2005