SUMRANA S AHMED DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****42

License Status

NOT RENEWED

Business

First Name

SUMRANA

Middle

Last Name

AHMED

Suffix

DDS

Business Name

SUMRANA S AHMED DDS

Original Issue Date

06/03/2005

Effective Date

06/18/2012

Expiration Date

09/30/2015

City

PALATINE

State

Zip

60074

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016