FATIMA NAUROSE SIRAJ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****44

License Status

NOT RENEWED

Business

First Name

FATIMA

Middle

NAUROSE

Last Name

SIRAJ

Business Name

FATIMA NAUROSE SIRAJ

Original Issue Date

06/23/2015

Effective Date

08/27/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60647

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022