SHARIQ BAQAI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****57

License Status

NOT RENEWED

Business

First Name

SHARIQ

Last Name

BAQAI

Suffix

DDS

Business Name

SHARIQ BAQAI DDS

Original Issue Date

12/30/2002

Effective Date

02/27/2007

Expiration Date

09/30/2009

City

BRADLEY

State

Zip

60915

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009