SABABA CHISTY ANAN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****74

License Status

ACTIVE

Business

Title

DDS

First Name

SABABA

Middle

CHISTY

Last Name

ANAN

Business Name

SABABA CHISTY ANAN DDS

Original Issue Date

04/18/2024

Effective Date

07/22/2024

Expiration Date

09/30/2027

City

ANTIOCH

State

Zip

60002

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/22/2024