TAIBA S NASREEN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****49

License Status

ACTIVE

Business

First Name

TAIBA

Middle

Last Name

NASREEN

Business Name

TAIBA S NASREEN

Original Issue Date

05/15/1986

Effective Date

07/20/2024

Expiration Date

09/30/2027

City

LOMBARD

State

Zip

60148

County

DUPAGE

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

07/20/2024