TARIQ MAROUF Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****22

License Status

ACTIVE

Business

First Name

TARIQ

Last Name

MAROUF

Business Name

TARIQ MAROUF

Original Issue Date

06/15/2019

Effective Date

07/12/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60610

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/12/2024