SARA REBECA KANG SAMAYOA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****07

License Status

ACTIVE

Business

Title

DDS

First Name

SARA

Middle

REBECA

Last Name

KANG SAMAYOA

Business Name

SARA REBECA KANG SAMAYOA DDS

Original Issue Date

07/11/2024

Effective Date

07/11/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2024