JOANNA K BASAYA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

ACTIVE

Business

Title

DDS

First Name

JOANNA

Middle

Last Name

BASAYA

Business Name

JOANNA K BASAYA DDS

Original Issue Date

06/26/2012

Effective Date

09/17/2024

Expiration Date

09/30/2027

City

SHOREWOOD

State

Zip

60404

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/17/2024