BASSEL DULLI DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000636

License Status

ACTIVE

Business

First Name

BASSEL

Last Name

DULLI

Suffix

DDS

Business Name

BASSEL DULLI DDS

Original Issue Date

11/16/2004

Effective Date

05/03/2024

Expiration Date

09/30/2027

City

NEW LENOX

State

Zip

60451

County

WILL

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

05/03/2024