KARLA ANNE IYONMAHAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****02

License Status

NOT RENEWED

Business

First Name

KARLA

Middle

ANNE

Last Name

IYONMAHAN

Business Name

KARLA ANNE IYONMAHAN

Original Issue Date

06/25/2013

Effective Date

09/24/2018

Expiration Date

01/31/2022

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022