ABDUL LATIF JUNIDI Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****07

License Status

ACTIVE

Business

First Name

ABDUL LATIF

Last Name

JUNIDI

Business Name

ABDUL LATIF JUNIDI

Original Issue Date

06/09/1995

Effective Date

05/06/2024

Expiration Date

09/30/2027

City

CENTRALIA

State

Zip

62801

County

MARION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/06/2024