KALA FRAZIER DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****57

License Status

ACTIVE

Business

Title

DDS

First Name

KALA

Last Name

FRAZIER

Business Name

KALA FRAZIER DDS

Original Issue Date

07/15/2023

Effective Date

08/12/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60643

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/12/2024