KAVITA NANA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****37

License Status

ACTIVE

Business

First Name

KAVITA

Last Name

NANA

Business Name

KAVITA NANA

Original Issue Date

12/10/2024

Effective Date

12/10/2024

Expiration Date

09/30/2027

City

GENEVA

State

Zip

60134

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2025