IZAZ SHAIK DMD 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

DMD

First Name

IZAZ

Last Name

SHAIK

Business Name

IZAZ SHAIK DMD

Original Issue Date

06/24/2022

Effective Date

06/24/2022

Expiration Date

09/30/2024

City

CUMMING

State

Zip

30040

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025