AZADEH RAHMATIAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****20

License Status

NOT RENEWED

Business

First Name

AZADEH

Last Name

RAHMATIAN

Suffix

DDS

Business Name

AZADEH RAHMATIAN DDS

Original Issue Date

03/04/2010

Effective Date

03/04/2010

Expiration Date

09/30/2012

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012