SAM S DAUAHERA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****95

License Status

ACTIVE

Business

First Name

SAM

Middle

Last Name

DAUAHERA

Suffix

DDS

Business Name

SAM S DAUAHERA DDS

Original Issue Date

09/17/2021

Effective Date

07/23/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60646

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/23/2024