SUBIA ISHTIAQ BDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****21

License Status

NOT RENEWED

Business

Title

BDS

First Name

SUBIA

Last Name

ISHTIAQ

Business Name

SUBIA ISHTIAQ BDS

Original Issue Date

08/23/2019

Effective Date

08/23/2019

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60607

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022