DAVID ABUMANNEH - Dentist License in Illinois | # 31*****72

DAVID ABUMANNEH

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****72

License Status

ACTIVE

Business

N

First Name

DAVID

Last Name

ABUMANNEH

Business Name

DAVID ABUMANNEH

Original Issue Date

12/14/2021

Effective Date

06/21/2024

Expiration Date

09/30/2027

State

IL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

06/21/2024