KAVITA NANA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****13

License Status

NOT RENEWED

Business

First Name

KAVITA

Last Name

NANA

Business Name

KAVITA NANA

Original Issue Date

06/24/2014

Effective Date

11/22/2021

Expiration Date

09/30/2024

City

OSWEGO

State

Zip

60543

County

KENDALL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025