MEHTAB HUSAIN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****78

License Status

ACTIVE

Business

First Name

MEHTAB

Last Name

HUSAIN

Business Name

MEHTAB HUSAIN

Original Issue Date

09/04/2019

Effective Date

09/20/2024

Expiration Date

09/30/2027

City

ELGIN

State

Zip

60120

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/20/2024