FAKHRA AHMAD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****26

License Status

NOT RENEWED

Business

First Name

FAKHRA

Last Name

AHMAD

Business Name

FAKHRA AHMAD

Original Issue Date

02/06/2020

Effective Date

02/06/2020

Expiration Date

01/31/2022

City

ELGIN

State

Zip

60124

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022