MIRA SUVAGIA DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****46

License Status

ACTIVE

Business

Title

DMD

First Name

MIRA

Last Name

SUVAGIA

Business Name

MIRA SUVAGIA DMD

Original Issue Date

07/20/2022

Effective Date

07/02/2024

Expiration Date

09/30/2027

City

ELGIN

State

Zip

60124

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/02/2024