BASSAM ALI ISSA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029193

License Status

ACTIVE

Business

First Name

BASSAM

Middle

ALI

Last Name

ISSA

Business Name

BASSAM ALI ISSA

Original Issue Date

07/31/2012

Effective Date

05/21/2024

Expiration Date

09/30/2027

City

CALUMET CITY

State

Zip

60409

Ever Disciplined

LastModifiedDate

05/21/2024