GAITH KHATLAN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****14

License Status

ACTIVE

Business

First Name

GAITH

Last Name

KHATLAN

Business Name

GAITH KHATLAN

Original Issue Date

07/31/2018

Effective Date

09/11/2024

Expiration Date

09/30/2027

City

PLAINFIELD

State

Zip

60585

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/11/2024