MARYAM SULTANA AHMED DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****92

License Status

NOT RENEWED

Business

First Name

MARYAM

Middle

SULTANA

Last Name

AHMED

Suffix

DDS

Business Name

MARYAM SULTANA AHMED DDS

Original Issue Date

07/11/2012

Effective Date

07/11/2012

Expiration Date

09/30/2015

City

WESTLAKE

State

Zip

44145

County

OHIO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016