SUMRANA S AHMED DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****21

License Status

ACTIVE

Business

First Name

SUMRANA

Middle

Last Name

AHMED

Suffix

DDS

Business Name

SUMRANA S AHMED DDS

Original Issue Date

10/30/2003

Effective Date

08/17/2024

Expiration Date

09/30/2027

City

WAUKEGAN

State

Zip

60085

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/17/2024