KAJOL SUNIL KANSARA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****14

License Status

ACTIVE

Business

First Name

KAJOL

Middle

SUNIL

Last Name

KANSARA

Business Name

KAJOL SUNIL KANSARA

Original Issue Date

01/11/2021

Effective Date

09/09/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60601

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/09/2024