SHAFA AMIRSOLTANI Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****88

License Status

ACTIVE

Business

First Name

SHAFA

Last Name

AMIRSOLTANI

Business Name

SHAFA AMIRSOLTANI

Original Issue Date

04/19/1993

Effective Date

05/07/2024

Expiration Date

09/30/2027

City

OAK PARK

State

Zip

60301

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/07/2024