SHAFAQ R MUSTAFA DDS Dentist License verification

SHAFAQ R MUSTAFA DDS

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****70

License Status

ACTIVE

Business

First Name

SHAFAQ

Middle

Last Name

MUSTAFA

Suffix

DDS

Business Name

SHAFAQ R MUSTAFA DDS

Original Issue Date

09/27/2007

Effective Date

09/26/2024

Expiration Date

09/30/2027

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2025

Case Number

2024007359

Action

Probation

Discipline Start Date

11/03/2025

Discipline End Date

11/02/2026

Discipline Reason

dentist controlled-substance license placed on probation for one year with conditions due to substandard care in the provision of a patient's upper and lower dentures.