ARIAN RRUSHAJ Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****40

License Status

ACTIVE

Business

First Name

ARIAN

Last Name

RRUSHAJ

Business Name

ARIAN RRUSHAJ

Original Issue Date

07/28/2020

Effective Date

08/24/2024

Expiration Date

09/30/2027

City

PEKIN

State

Zip

61554

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/24/2024