ALEXANDER DANIEL JARAVA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****20

License Status

ACTIVE

Business

First Name

ALEXANDER

Middle

DANIEL

Last Name

JARAVA

Business Name

ALEXANDER DANIEL JARAVA

Original Issue Date

08/29/2018

Effective Date

09/18/2024

Expiration Date

09/30/2027

City

PALATINE

State

Zip

60067

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/18/2024