MAHENOOR AHMED MADHA DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****20

License Status

ACTIVE

Business

Title

DMD

First Name

MAHENOOR

Middle

AHMED

Last Name

MADHA

Business Name

MAHENOOR AHMED MADHA DMD

Original Issue Date

09/22/2021

Effective Date

09/14/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60607

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/14/2024