REZA VAKILI DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000759

License Status

ACTIVE

Business

First Name

REZA

Last Name

VAKILI

Suffix

DDS

Business Name

REZA VAKILI DDS

Original Issue Date

07/30/2009

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61615

County

PEORIA

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

05/01/2024