OMAR L GHONEIM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000773

License Status

NOT RENEWED

Business

Title

DDS

First Name

OMAR

Middle

Last Name

GHONEIM

Business Name

OMAR L GHONEIM DDS

Original Issue Date

06/24/1994

Effective Date

06/24/1994

Expiration Date

06/30/1995

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005