AZITA ABBASI HAFSHEJANI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****51

License Status

NOT RENEWED

Business

First Name

AZITA

Last Name

ABBASI HAFSHEJANI

Suffix

DDS

Business Name

AZITA ABBASI HAFSHEJANI DDS

Original Issue Date

02/20/2013

Effective Date

02/20/2013

Expiration Date

09/30/2015

City

ADDISON

State

Zip

60101

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016