KOUSHAN H AZAD DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****07

License Status

ACTIVE

Business

First Name

KOUSHAN

Middle

Last Name

AZAD

Suffix

DMD

Business Name

KOUSHAN H AZAD DMD

Original Issue Date

02/27/2006

Effective Date

09/27/2024

Expiration Date

09/30/2027

City

ELGIN

State

Zip

60120

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/27/2024