FARAI W KAMBASHA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137001069

License Status

ACTIVE

Business

First Name

FARAI

Middle

Last Name

KAMBASHA

Suffix

DDS

Business Name

FARAI W KAMBASHA DDS

Original Issue Date

08/07/2020

Effective Date

08/06/2024

Expiration Date

09/30/2027

City

JOLIET

State

Zip

60435

County

WILL

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

08/06/2024