AJAY KOYA DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****97

License Status

ACTIVE

Business

Title

DMD

First Name

AJAY

Last Name

KOYA

Business Name

AJAY KOYA DMD

Original Issue Date

06/30/2023

Effective Date

07/29/2024

Expiration Date

09/30/2027

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/29/2024