NIRVANA LUZ LEIX DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****57

License Status

ACTIVE

Business

First Name

NIRVANA

Middle

LUZ

Last Name

LEIX

Suffix

DDS

Business Name

NIRVANA LUZ LEIX DDS

Original Issue Date

07/07/2003

Effective Date

08/21/2024

Expiration Date

09/30/2027

City

VILLAGE OF LAKEWOOD

State

Zip

60014

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/21/2024