ROKHSAREH HASSANZADEHMAHAEI DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****19

License Status

NOT RENEWED

Business

Title

DMD

First Name

ROKHSAREH

Last Name

HASSANZADEHMAHAEI

Business Name

ROKHSAREH HASSANZADEHMAHAEI DMD

Original Issue Date

06/12/2019

Effective Date

06/12/2019

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60661

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022