SUHEL R DUKANWALA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****39

License Status

ACTIVE

Business

First Name

SUHEL

Middle

Last Name

DUKANWALA

Business Name

SUHEL R DUKANWALA

Original Issue Date

07/21/2017

Effective Date

08/11/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/11/2024