MAHMOUD ABOULFARAG Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019034810

License Status

ACTIVE

Business

First Name

MAHMOUD

Last Name

ABOULFARAG

Business Name

MAHMOUD ABOULFARAG

Original Issue Date

02/08/2024

Effective Date

08/09/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

08/09/2024