NASTARAN AGHELI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****24

License Status

NOT RENEWED

Business

First Name

NASTARAN

Last Name

AGHELI

Business Name

NASTARAN AGHELI

Original Issue Date

01/21/2024

Effective Date

01/21/2024

Expiration Date

09/30/2024

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025