SUZANNE HAERI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****14

License Status

NOT RENEWED

Business

First Name

SUZANNE

Last Name

HAERI

Suffix

DDS

Business Name

SUZANNE HAERI DDS

Original Issue Date

11/22/1994

Effective Date

11/22/1994

Expiration Date

09/30/1996

City

CICERO

State

Zip

60650

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005