MUIZZ MINAZ MERCHANT Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****54

License Status

ACTIVE

Business

First Name

MUIZZ

Middle

MINAZ

Last Name

MERCHANT

Business Name

MUIZZ MINAZ MERCHANT

Original Issue Date

09/20/2018

Effective Date

09/04/2024

Expiration Date

09/30/2027

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/04/2024