TAMANNA AZIM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****53

License Status

NOT RENEWED

Business

Title

DDS

First Name

TAMANNA

Last Name

AZIM

Business Name

TAMANNA AZIM DDS

Original Issue Date

10/01/2022

Effective Date

10/01/2022

Expiration Date

09/30/2024

City

TROY

State

Zip

48085

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025