SARA AHMAD IMTIAZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****41

License Status

NOT RENEWED

Business

First Name

SARA AHMAD

Last Name

IMTIAZ

Business Name

SARA AHMAD IMTIAZ

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025