UMAR U HAQUE DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****79

License Status

NOT RENEWED

Business

First Name

UMAR

Middle

Last Name

HAQUE

Suffix

DMD

Business Name

UMAR U HAQUE DMD

Original Issue Date

07/28/2003

Effective Date

07/28/2003

Expiration Date

09/30/2004

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005