AYESHA NOOR MALIK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****14

License Status

NOT RENEWED

Business

Title

DDS

First Name

AYESHA

Middle

NOOR

Last Name

MALIK

Business Name

AYESHA NOOR MALIK DDS

Original Issue Date

06/08/2012

Effective Date

06/08/2012

Expiration Date

09/30/2015

City

ASTORIA

State

Zip

11105

County

NEW YORK

Specialty/Qualifier

PHARM DISTRIBUTOR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016