MAHWESH RAZZAQ DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****05

License Status

NOT RENEWED

Business

Title

DDS

First Name

MAHWESH

Last Name

RAZZAQ

Business Name

MAHWESH RAZZAQ DDS

Original Issue Date

07/19/2011

Effective Date

07/19/2011

Expiration Date

09/30/2012

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012