ALTA E MEKAELIAN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****94

License Status

ACTIVE

Business

First Name

ALTA E

Last Name

MEKAELIAN

Business Name

ALTA E MEKAELIAN

Original Issue Date

08/14/1986

Effective Date

08/12/2024

Expiration Date

09/30/2027

City

GURNEE

State

Zip

60031

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/12/2024