MOMINA F RAHMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****86

License Status

NOT RENEWED

Business

First Name

MOMINA

Middle

Last Name

RAHMAN

Business Name

MOMINA F RAHMAN

Original Issue Date

10/05/2018

Effective Date

10/05/2018

Expiration Date

01/31/2022

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022