NADIA Z MIRZA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****98

License Status

NOT RENEWED

Business

First Name

NADIA

Middle

Last Name

MIRZA

Suffix

DDS

Business Name

NADIA Z MIRZA DDS

Original Issue Date

08/11/2008

Effective Date

07/06/2009

Expiration Date

09/30/2012

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012