SHAHAB PARSA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****08

License Status

NOT RENEWED

Business

Title

DDS

First Name

SHAHAB

Last Name

PARSA

Business Name

SHAHAB PARSA DDS

Original Issue Date

01/21/2015

Effective Date

09/17/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018