AZZA TAGELSIR M AHMED Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000268

License Status

ACTIVE

Business

First Name

AZZA

Middle

TAGELSIR M

Last Name

AHMED

Business Name

AZZA TAGELSIR M AHMED

Original Issue Date

07/27/2022

Effective Date

05/16/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

05/16/2024