IRUM IBRAHIM VEDACHHIA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

NOT RENEWED

Business

Title

DDS

First Name

IRUM

Middle

IBRAHIM

Last Name

VEDACHHIA

Business Name

IRUM IBRAHIM VEDACHHIA DDS

Original Issue Date

07/21/2016

Effective Date

08/10/2018

Expiration Date

01/31/2022

City

HIGHLAND

State

Zip

46322

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022