SADAF SAFAVINEJAD DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****57

License Status

ACTIVE

Business

Title

DDS

First Name

SADAF

Last Name

SAFAVINEJAD

Business Name

SADAF SAFAVINEJAD DDS

Original Issue Date

07/09/2014

Effective Date

05/09/2024

Expiration Date

09/30/2027

City

SOUTH BELOIT

State

Zip

61080

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2024