UZMA S HATIA 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

UZMA

Middle

Last Name

HATIA

Business Name

UZMA S HATIA

Original Issue Date

12/29/2008

Effective Date

09/07/2018

Expiration Date

01/31/2022

City

JOLIET

State

Zip

60435

County

WILL

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

05/09/2022