SARA FATIMA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****41

License Status

NOT RENEWED

Business

Title

DDS

First Name

SARA

Last Name

FATIMA

Business Name

SARA FATIMA DDS

Original Issue Date

08/08/2016

Effective Date

10/01/2018

Expiration Date

01/31/2022

City

MAPLE SHADE

State

Zip

08052

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022