ZOHRA QAMRUDDIN METALWALA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****99

License Status

NOT RENEWED

Business

Title

DDS

First Name

ZOHRA

Middle

QAMRUDDIN

Last Name

METALWALA

Business Name

ZOHRA QAMRUDDIN METALWALA DDS

Original Issue Date

08/22/2012

Effective Date

12/18/2018

Expiration Date

01/31/2022

City

WILMETTE

State

Zip

60091

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022