MARYAM HAFEZI DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****33

License Status

ACTIVE

Business

First Name

MARYAM

Last Name

HAFEZI

Suffix

DMD

Business Name

MARYAM HAFEZI DMD

Original Issue Date

10/26/2000

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

NAPERVILLE

State

Zip

60564

County

WILL

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/02/2024