AMIRA H YAGI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****30

License Status

NOT RENEWED

Business

Title

DDS

First Name

AMIRA

Middle

Last Name

YAGI

Business Name

AMIRA H YAGI DDS

Original Issue Date

09/16/2015

Effective Date

09/16/2015

Expiration Date

09/30/2018

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018