MATTHEW CARAG ZANDIEH VAKILI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****23

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

CARAG

Last Name

ZANDIEH VAKILI

Business Name

MATTHEW CARAG ZANDIEH VAKILI

Original Issue Date

02/04/2020

Effective Date

02/04/2020

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60661

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022