KASSIM BAZIRGAN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****16

License Status

ACTIVE

Business

Title

DMD

First Name

KASSIM

Last Name

BAZIRGAN

Business Name

KASSIM BAZIRGAN DMD

Original Issue Date

08/27/2018

Effective Date

09/06/2024

Expiration Date

09/30/2027

City

MORTON GROVE

State

Zip

60053

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/06/2024