PRESTON BANOUB DMD Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002179

License Status

EXPIRED

Business

Title

DMD

First Name

PRESTON

Last Name

BANOUB

Business Name

PRESTON BANOUB DMD

Original Issue Date

06/07/2021

Effective Date

07/01/2021

Expiration Date

06/30/2025

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/29/2025