LEILA AHMADIAN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****72

License Status

ACTIVE

Business

First Name

LEILA

Last Name

AHMADIAN

Business Name

LEILA AHMADIAN

Original Issue Date

02/15/2023

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

VILLA PARK

State

Zip

60181

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

08/19/2024