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SIPORIN, KENNETH DAVID       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: HAIR AESTHETIC INSTITUTE
11500 W OLYMPIC BLVD #315
LOS ANGELES CA 90064

Address last updated on 5/13/2013
Phone #: (310) 479-4247
Fax #:
County: NOT OKLAHOMA
License: 28533
Dated: 7/14/2011
Expires: 7/1/2014
License Type: Medical Doctor
Specialty: Plastic Surgery
Other Specialty
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Chicago Med Sch at Rosalin Franklin Univ of Med & Sci, North Chicago, IL
Graduated: 6 / 1989
CME Year: 2014
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF PLASTIC SURGERY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
HAIR AESTHETIC INSTITUTE
11500 W OLYMPIC BLVD #315
LOS ANGELES CA 90064

Phone #: (310) 479-4247
Fax #:

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