ALIBASHA SHAIK DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****65

License Status

NOT RENEWED

Business

Title

DMD

First Name

ALIBASHA

Last Name

SHAIK

Business Name

ALIBASHA SHAIK DMD

Original Issue Date

10/15/2015

Effective Date

10/01/2018

Expiration Date

01/31/2022

City

MANCHESTER

State

Zip

03102

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022