AMIR KADERBHAI KOITA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****05

License Status

ACTIVE

Business

First Name

AMIR KADERBHAI

Last Name

KOITA

Business Name

AMIR KADERBHAI KOITA

Original Issue Date

05/02/1985

Effective Date

09/16/2024

Expiration Date

09/30/2027

City

WEST CHICAGO

State

Zip

60185

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/16/2024