SHAFEEQ H BADER 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

SHAFEEQ

Middle

Last Name

BADER

Business Name

SHAFEEQ H BADER DDS

Original Issue Date

09/03/2013

Effective Date

06/08/2015

Expiration Date

09/30/2018

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018