ANISSA CELENA ANAST DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032578

License Status

ACTIVE

Business

Title

DMD

First Name

ANISSA

Middle

CELENA

Last Name

ANAST

Business Name

ANISSA CELENA ANAST DMD

Original Issue Date

05/22/2020

Effective Date

09/03/2024

Expiration Date

09/30/2027

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/03/2024