SAMAR ISLAM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****81

License Status

NOT RENEWED

Business

First Name

SAMAR

Last Name

ISLAM

Suffix

DDS

Business Name

SAMAR ISLAM DDS

Original Issue Date

04/04/2005

Effective Date

04/04/2005

Expiration Date

09/30/2006

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/30/2007