IBRAHIM MASSOUD DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025844

License Status

ACTIVE

Business

First Name

IBRAHIM

Last Name

MASSOUD

Suffix

DDS

Business Name

IBRAHIM MASSOUD DDS

Original Issue Date

06/07/2002

Effective Date

09/30/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/30/2024