AZIN SADIGHNIA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****97

License Status

ACTIVE

Business

First Name

AZIN

Last Name

SADIGHNIA

Business Name

AZIN SADIGHNIA

Original Issue Date

08/14/2020

Effective Date

06/29/2024

Expiration Date

09/30/2027

City

CHAMPAIGN

State

Zip

61820

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/29/2024