ORUSA KALOTA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****84

License Status

ACTIVE

Business

First Name

ORUSA

Last Name

KALOTA

Business Name

ORUSA KALOTA

Original Issue Date

08/16/2018

Effective Date

08/10/2024

Expiration Date

09/30/2027

City

WINFIELD

State

Zip

60190

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/10/2024