MOHAMMAD REZA PEZESHK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****76

License Status

NOT RENEWED

Business

First Name

MOHAMMAD

Middle

REZA

Last Name

PEZESHK

Suffix

DDS

Business Name

MOHAMMAD REZA PEZESHK DDS

Original Issue Date

07/03/2012

Effective Date

09/13/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60661

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022