MUSSADIQ IFTIKHAR Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****60

License Status

NOT RENEWED

Business

First Name

MUSSADIQ

Last Name

IFTIKHAR

Business Name

MUSSADIQ IFTIKHAR

Original Issue Date

05/24/2012

Effective Date

06/20/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60605

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016