NUSRAT ABDULKADER HAWA DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****39

License Status

ACTIVE

Business

First Name

NUSRAT

Middle

ABDULKADER

Last Name

HAWA

Suffix

DMD

Business Name

NUSRAT ABDULKADER HAWA DMD

Original Issue Date

10/07/2004

Effective Date

07/31/2024

Expiration Date

09/30/2027

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/31/2024