SARA DEYLAMIPOUR VAFA DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****94

License Status

ACTIVE

Business

First Name

SARA

Middle

DEYLAMIPOUR

Last Name

VAFA

Suffix

DMD

Business Name

SARA DEYLAMIPOUR VAFA DMD

Original Issue Date

08/15/2012

Effective Date

08/05/2024

Expiration Date

09/30/2027

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/05/2024