AITA KOOPAHI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****69

License Status

NOT RENEWED

Business

Title

DDS

First Name

AITA

Last Name

KOOPAHI

Business Name

AITA KOOPAHI DDS

Original Issue Date

07/14/2014

Effective Date

10/01/2018

Expiration Date

01/31/2022

City

WALNUT CREEK

State

Zip

94598

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022