TAREK HAKAM SAFADI 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

TAREK

Middle

HAKAM

Last Name

SAFADI

Suffix

DDS

Business Name

TAREK HAKAM SAFADI DDS

Original Issue Date

05/12/2010

Effective Date

05/12/2010

Expiration Date

09/30/2012

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012