AMY ADEL BASTAWROS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031468

License Status

ACTIVE

Business

First Name

AMY

Middle

ADEL

Last Name

BASTAWROS

Business Name

AMY ADEL BASTAWROS

Original Issue Date

12/18/2017

Effective Date

06/26/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

03/19/2026