FARIDEH NIKOO DAFTARY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****13

License Status

NOT RENEWED

Business

First Name

FARIDEH

Middle

NIKOO

Last Name

DAFTARY

Suffix

DDS

Business Name

FARIDEH NIKOO DAFTARY DDS

Original Issue Date

07/20/2000

Effective Date

09/28/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018