UPALI ELAVIA DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****51

License Status

NOT RENEWED

Business

Title

DMD

First Name

UPALI

Last Name

ELAVIA

Business Name

UPALI ELAVIA DMD

Original Issue Date

08/24/2021

Effective Date

08/24/2021

Expiration Date

09/30/2024

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025