AYESHA NUSRAT ALI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****07

License Status

NOT RENEWED

Business

Title

DDS

First Name

AYESHA

Middle

NUSRAT

Last Name

ALI

Business Name

AYESHA NUSRAT ALI DDS

Original Issue Date

07/21/2014

Effective Date

06/15/2015

Expiration Date

09/30/2018

City

NORTH HAVEN

State

Zip

06473

County

CONNECTICUT

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018