MAZAR SHUAIPAJ Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****59

License Status

ACTIVE

Business

First Name

MAZAR

Last Name

SHUAIPAJ

Business Name

MAZAR SHUAIPAJ

Original Issue Date

09/04/1991

Effective Date

09/16/2024

Expiration Date

09/30/2027

City

DOWENRS GROVE

State

Zip

60515

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/16/2024