ALIA MUSHTAQ AHMED Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****79

License Status

ACTIVE

Business

First Name

ALIA

Middle

MUSHTAQ

Last Name

AHMED

Business Name

ALIA MUSHTAQ AHMED

Original Issue Date

07/06/2012

Effective Date

07/23/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60613

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/23/2024