SHIMA BASHIRA PHOENIX DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030430

License Status

ACTIVE

Business

Title

DMD

First Name

SHIMA

Middle

BASHIRA

Last Name

PHOENIX

Business Name

SHIMA BASHIRA PHOENIX DMD

Original Issue Date

08/04/2015

Effective Date

08/10/2024

Expiration Date

09/30/2027

City

CHENOA

State

Zip

61726

County

MCLEAN

Ever Disciplined

LastModifiedDate

08/10/2024