TALA GHISHAN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021003260

License Status

ACTIVE

Business

First Name

TALA

Last Name

GHISHAN

Business Name

TALA GHISHAN

Original Issue Date

06/30/2023

Effective Date

08/12/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60601

County

COOK

Specialty/Qualifier

PROSTHODONTICS

Ever Disciplined

LastModifiedDate

08/12/2024