MELISSA KEDEI EWA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****03

License Status

ACTIVE

Business

First Name

MELISSA

Middle

KEDEI

Last Name

EWA

Business Name

MELISSA KEDEI EWA

Original Issue Date

12/30/2014

Effective Date

08/05/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60629

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/05/2024