PAYAM REZAI Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****97

License Status

ACTIVE

Business

First Name

PAYAM

Last Name

REZAI

Business Name

PAYAM REZAI

Original Issue Date

05/17/2010

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60622

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/01/2025