Dentist
LICENSED DENTIST CONTROLLED SUBSTANCE
31*****98
ACTIVE
N
SAM
TAHBAZ
DDS
SAM TAHBAZ DDS
10/26/1998
09/24/2024
09/30/2027
CHICAGO
IL
60610
COOK
II III IV V
Y
09/24/2024
2016003427
Suspension
05/05/2017
06/06/2017
Failure to file and/or pay Illinois state income taxes.