TAIRA YUSUFOVA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****73

License Status

ACTIVE

Business

First Name

TAIRA

Last Name

YUSUFOVA

Business Name

TAIRA YUSUFOVA

Original Issue Date

08/03/2022

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

LISLE

State

Zip

60532

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/19/2024