SARAH IMTIAZ QAZI Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****98

License Status

ACTIVE

Business

First Name

SARAH

Middle

IMTIAZ

Last Name

QAZI

Business Name

SARAH IMTIAZ QAZI

Original Issue Date

12/08/2020

Effective Date

09/12/2024

Expiration Date

09/30/2027

City

VILLA PARK

State

Zip

60181

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/12/2024