CISSY KANNA FURUSHO DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****17

License Status

ACTIVE

Business

First Name

CISSY KANNA

Last Name

FURUSHO

Suffix

DDS

Business Name

CISSY KANNA FURUSHO DDS

Original Issue Date

04/01/1999

Effective Date

07/30/2024

Expiration Date

09/30/2027

City

LINCOLNWOOD

State

Zip

60712

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/30/2024