DALIAH M SALEM DMD,MMSC Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002660

License Status

INACTIVE

Business

Title

DMD,MMSC

First Name

DALIAH

Middle

Last Name

SALEM

Business Name

DALIAH M SALEM DMD,MMSC

Original Issue Date

06/25/2015

Effective Date

06/07/2018

Expiration Date

01/31/2022

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Specialty/Qualifier

PERIODONTICS

Ever Disciplined

LastModifiedDate

01/04/2022