RAZVAN C MIRZA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****54

License Status

ACTIVE

Business

First Name

RAZVAN

Middle

Last Name

MIRZA

Suffix

DDS

Business Name

RAZVAN C MIRZA DDS

Original Issue Date

10/26/2004

Effective Date

06/19/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/19/2024