OSAMA A ABUALNJA Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001532

License Status

EXPIRED

Business

First Name

OSAMA

Middle

Last Name

ABUALNJA

Business Name

OSAMA A ABUALNJA

Original Issue Date

12/20/2004

Effective Date

12/20/2004

Expiration Date

05/06/2007

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

05/09/2007