SNOWBER FAZILI DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****99

License Status

ACTIVE

Business

First Name

SNOWBER

Last Name

FAZILI

Suffix

DMD

Business Name

SNOWBER FAZILI DMD

Original Issue Date

05/11/2021

Effective Date

09/23/2024

Expiration Date

09/30/2027

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/23/2024