SALMAAN UMAR POOTHAWALA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****71

License Status

ACTIVE

Business

First Name

SALMAAN

Middle

UMAR

Last Name

POOTHAWALA

Suffix

DDS

Business Name

SALMAAN UMAR POOTHAWALA DDS

Original Issue Date

01/08/2004

Effective Date

09/06/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60613

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/06/2024