SHEBLI MEHRAZARIN 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

SHEBLI

Last Name

MEHRAZARIN

Business Name

SHEBLI MEHRAZARIN

Original Issue Date

10/03/2019

Effective Date

11/14/2021

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60661

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/04/2025