SHAHVAR AZAL HUSSAIN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****83

License Status

ACTIVE

Business

Title

DMD

First Name

SHAHVAR

Middle

AZAL

Last Name

HUSSAIN

Business Name

SHAHVAR AZAL HUSSAIN DMD

Original Issue Date

05/22/2020

Effective Date

09/08/2024

Expiration Date

09/30/2027

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/08/2024