BASIM S SHAKIR Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****14

License Status

ACTIVE

Business

First Name

BASIM

Middle

Last Name

SHAKIR

Business Name

BASIM S SHAKIR

Original Issue Date

05/05/1994

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60659

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024