AMY SARA MAYA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****04

License Status

NOT RENEWED

Business

Title

DDS

First Name

AMY

Middle

SARA

Last Name

MAYA

Business Name

AMY SARA MAYA DDS

Original Issue Date

01/15/2020

Effective Date

01/15/2020

Expiration Date

01/31/2022

City

LINDENHURST

State

Zip

60046

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022