NASRIN S AZIMZADEH DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****62

License Status

ACTIVE

Business

First Name

NASRIN

Middle

Last Name

AZIMZADEH

Suffix

DMD

Business Name

NASRIN S AZIMZADEH DMD

Original Issue Date

10/12/2021

Effective Date

09/30/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/30/2024