NEHA NOOR IBNE-RASA DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****62

License Status

NOT RENEWED

Business

Title

DMD

First Name

NEHA

Middle

NOOR

Last Name

IBNE-RASA

Business Name

NEHA NOOR IBNE-RASA DMD

Original Issue Date

07/09/2020

Effective Date

07/09/2020

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60607

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022