MARY A AFZALI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****22

License Status

NOT RENEWED

Business

First Name

MARY A

Last Name

AFZALI

Business Name

MARY A AFZALI

Original Issue Date

10/26/1990

Effective Date

09/18/2012

Expiration Date

09/30/2015

City

GLENVIEW

State

Zip

60025

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016