SODABEH ETMINAN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****21

License Status

ACTIVE

Business

Title

DMD

First Name

SODABEH

Last Name

ETMINAN

Business Name

SODABEH ETMINAN DMD

Original Issue Date

07/17/2009

Effective Date

07/05/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

07/05/2024