ELFATIH EISA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019035367

License Status

ACTIVE

Business

First Name

ELFATIH

Last Name

EISA

Business Name

ELFATIH EISA

Original Issue Date

07/15/2024

Effective Date

07/15/2024

Expiration Date

09/30/2027

City

EDWARDSVILLE

State

Zip

62025

Ever Disciplined

LastModifiedDate

11/20/2023