TAIBA S NASREEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****50

License Status

NOT RENEWED

Business

First Name

TAIBA

Middle

Last Name

NASREEN

Business Name

TAIBA S NASREEN

Original Issue Date

04/06/1989

Effective Date

04/06/1989

Expiration Date

09/30/1990

City

CHICAGO

State

Zip

60154

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/13/2005