HAIFAA IBRAHIM Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****30

License Status

ACTIVE

Business

First Name

HAIFAA

Last Name

IBRAHIM

Business Name

HAIFAA IBRAHIM

Original Issue Date

08/28/2023

Effective Date

08/27/2024

Expiration Date

09/30/2027

City

PEORIA

State

Zip

85381

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/27/2024