MUDAR AZZAM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019033999

License Status

NOT RENEWED

Business

Title

DDS

First Name

MUDAR

Last Name

AZZAM

Business Name

MUDAR AZZAM DDS

Original Issue Date

11/07/2022

Effective Date

11/07/2022

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

02/04/2025