WAKAS S ABDULRAZZAQ 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

Title

DMD

First Name

WAKAS

Middle

Last Name

ABDULRAZZAQ

Business Name

WAKAS S ABDULRAZZAQ DMD

Original Issue Date

05/24/2017

Effective Date

10/15/2018

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