KEHINDE JOHN FASANYA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****65

License Status

ACTIVE

Business

First Name

KEHINDE

Middle

JOHN

Last Name

FASANYA

Business Name

KEHINDE JOHN FASANYA

Original Issue Date

08/06/2010

Effective Date

08/30/2024

Expiration Date

09/30/2027

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/30/2024