ANTARA GOSWAMI Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****74

License Status

ACTIVE

Business

First Name

ANTARA

Last Name

GOSWAMI

Business Name

ANTARA GOSWAMI

Original Issue Date

10/02/2024

Effective Date

10/02/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60629

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/26/2025