BERJ LATCHINIAN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****10

License Status

ACTIVE

Business

Title

DMD

First Name

BERJ

Last Name

LATCHINIAN

Business Name

BERJ LATCHINIAN DMD

Original Issue Date

06/27/2022

Effective Date

08/22/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/22/2024