TARA ELIZABETH HABIBI DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021003214

License Status

ACTIVE

Business

Title

DMD

First Name

TARA

Middle

ELIZABETH

Last Name

HABIBI

Business Name

TARA ELIZABETH HABIBI DMD

Original Issue Date

08/19/2022

Effective Date

08/23/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Specialty/Qualifier

ENDODONTICS

Ever Disciplined

LastModifiedDate

08/23/2024