MUSTAFA QAMARUDDIN YAMANI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****45

License Status

NOT RENEWED

Business

First Name

MUSTAFA

Middle

QAMARUDDIN

Last Name

YAMANI

Suffix

DDS

Business Name

MUSTAFA QAMARUDDIN YAMANI DDS

Original Issue Date

08/28/2006

Effective Date

08/28/2006

Expiration Date

09/30/2009

City

CHICAGO

State

Zip

60651

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009