MOHMEDVASIM R MOMIN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****54

License Status

NOT RENEWED

Business

Title

DDS

First Name

MOHMEDVASIM

Middle

Last Name

MOMIN

Business Name

MOHMEDVASIM R MOMIN DDS

Original Issue Date

07/25/2012

Effective Date

09/25/2015

Expiration Date

09/30/2018

City

CLARENDON HILLS

State

Zip

60514

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018