FATEMEH AFSHAR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****66

License Status

NOT RENEWED

Business

Title

DDS

First Name

FATEMEH

Last Name

AFSHAR

Business Name

FATEMEH AFSHAR DDS

Original Issue Date

06/15/2000

Effective Date

06/15/2000

Expiration Date

09/30/2002

City

NILES

State

Zip

60714

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/17/2005