MOHAMMED MURTAZA MIR 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

MOHAMMED

Middle

MURTAZA

Last Name

MIR

Business Name

MOHAMMED MURTAZA MIR DMD

Original Issue Date

05/27/2021

Effective Date

05/30/2024

Expiration Date

09/30/2027

City

VILLA PARK

State

Zip

60181

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/30/2024