BEHNAM DARVISHAN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****91

License Status

ACTIVE

Business

Title

DMD

First Name

BEHNAM

Last Name

DARVISHAN

Business Name

BEHNAM DARVISHAN DMD

Original Issue Date

12/23/2021

Effective Date

08/18/2024

Expiration Date

09/30/2027

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/18/2024