SHAAN ANKOLA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****93

License Status

ACTIVE

Business

First Name

SHAAN

Last Name

ANKOLA

Business Name

SHAAN ANKOLA

Original Issue Date

07/25/2018

Effective Date

05/07/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60654

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/07/2024