BELSAM R KASHLAN 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

First Name

BELSAM

Middle

Last Name

KASHLAN

Suffix

DDS

Business Name

BELSAM R KASHLAN DDS

Original Issue Date

08/11/2003

Effective Date

06/25/2018

Expiration Date

01/31/2022

City

DARIEN

State

Zip

60527

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022