ANNIE M MIRZA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****34

License Status

ACTIVE

Business

Title

DDS

First Name

ANNIE

Middle

Last Name

MIRZA

Business Name

ANNIE M MIRZA DDS

Original Issue Date

02/04/2016

Effective Date

08/08/2024

Expiration Date

09/30/2027

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/08/2024