MEHEDIA HAQUE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****80

License Status

NOT RENEWED

Business

First Name

MEHEDIA

Last Name

HAQUE

Business Name

MEHEDIA HAQUE

Original Issue Date

08/07/2017

Effective Date

08/16/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022