MOHAMEDTAREK OMRAN-ALFAITUORI Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002655

License Status

ACTIVE

Business

First Name

MOHAMEDTAREK

Last Name

OMRAN-ALFAITUORI

Business Name

MOHAMEDTAREK OMRAN-ALFAITUORI

Original Issue Date

06/15/2015

Effective Date

08/30/2024

Expiration Date

09/30/2027

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Specialty/Qualifier

PERIODONTICS

Ever Disciplined

LastModifiedDate

08/30/2024