SAAD LATIF SOOFI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****35

License Status

NOT RENEWED

Business

Title

DDS

First Name

SAAD

Middle

LATIF

Last Name

SOOFI

Business Name

SAAD LATIF SOOFI DDS

Original Issue Date

05/24/2018

Effective Date

08/20/2018

Expiration Date

01/31/2022

City

PEORIA

State

Zip

61604

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022