LYLA AZZAM DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019033927

License Status

ACTIVE

Business

Title

DDS

First Name

LYLA

Last Name

AZZAM

Business Name

LYLA AZZAM DDS

Original Issue Date

08/03/2022

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

PLAINFIELD

State

Zip

60585

County

WILL

Ever Disciplined

LastModifiedDate

09/11/2024