AFSHA AMDANI Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****35

License Status

ACTIVE

Business

First Name

AFSHA

Last Name

AMDANI

Business Name

AFSHA AMDANI

Original Issue Date

05/22/2023

Effective Date

09/01/2024

Expiration Date

09/30/2027

City

MACHESNEY PARK

State

Zip

61115

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/01/2024