OMAR MOUKADDEM DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019033148

License Status

ACTIVE

Business

Title

DMD

First Name

OMAR

Last Name

MOUKADDEM

Business Name

OMAR MOUKADDEM DMD

Original Issue Date

06/07/2021

Effective Date

05/28/2024

Expiration Date

09/30/2027

City

BOLINGBROOK

State

Zip

60440

County

WILL

Ever Disciplined

LastModifiedDate

05/28/2024