HOURI H SHAFAIE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****63

License Status

ACTIVE

Business

First Name

HOURI H

Last Name

SHAFAIE

Business Name

HOURI H SHAFAIE

Original Issue Date

07/03/2002

Effective Date

05/03/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/03/2024