ASAD MOHAMMAD FAROOQ DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****53

License Status

ACTIVE

Business

Title

DMD

First Name

ASAD

Middle

MOHAMMAD

Last Name

FAROOQ

Business Name

ASAD MOHAMMAD FAROOQ DMD

Original Issue Date

11/09/2023

Effective Date

09/13/2024

Expiration Date

09/30/2027

City

GLENDALE HEIGHTS

State

Zip

60139

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/13/2024