SHAFA AMIRSOLTANI Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023196

License Status

ACTIVE

Business

First Name

SHAFA

Last Name

AMIRSOLTANI

Business Name

SHAFA AMIRSOLTANI

Original Issue Date

03/25/1993

Effective Date

05/07/2024

Expiration Date

09/30/2027

City

OAK PARK

State

Zip

60301

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2024

Case Number

2002000621

Action

Probation

Discipline Start Date

03/24/2003

Discipline End Date

09/23/2003

Discipline Reason

Failed to maintain appropriate patient records concerning a patient.