RUBECCA HASAN SHAHID DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****02

License Status

NOT RENEWED

Business

Title

DMD

First Name

RUBECCA

Middle

HASAN

Last Name

SHAHID

Business Name

RUBECCA HASAN SHAHID DMD

Original Issue Date

06/30/2016

Effective Date

06/30/2016

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60605

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018