MIRA M ISKANDAR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****58

License Status

NOT RENEWED

Business

First Name

MIRA

Middle

Last Name

ISKANDAR

Suffix

DDS

Business Name

MIRA M ISKANDAR DDS

Original Issue Date

03/17/1993

Effective Date

03/17/1993

Expiration Date

09/30/2002

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005