REZA VAKILI DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****67

License Status

ACTIVE

Business

First Name

REZA

Last Name

VAKILI

Suffix

DDS

Business Name

REZA VAKILI DDS

Original Issue Date

06/07/2004

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61615

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024