ELFATIH EISA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021003405

License Status

ACTIVE

Business

First Name

ELFATIH

Last Name

EISA

Business Name

ELFATIH EISA

Original Issue Date

12/20/2024

Effective Date

12/20/2024

Expiration Date

09/30/2027

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

02/24/2025