FATEMEH R KHAGHANI Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****13

License Status

ACTIVE

Business

First Name

FATEMEH R

Last Name

KHAGHANI

Business Name

FATEMEH R KHAGHANI

Original Issue Date

05/20/1996

Effective Date

09/06/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/06/2024