ADIBA UNNISA JAGIRDAR DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****44

License Status

ACTIVE

Business

Title

DMD

First Name

ADIBA

Middle

UNNISA

Last Name

JAGIRDAR

Business Name

ADIBA UNNISA JAGIRDAR DMD

Original Issue Date

07/25/2017

Effective Date

09/05/2024

Expiration Date

09/30/2027

City

ELMHURST

State

Zip

60126

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/05/2024