AMMAR ADAM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000697

License Status

NOT RENEWED

Business

First Name

AMMAR

Last Name

ADAM

Business Name

AMMAR ADAM

Original Issue Date

04/18/2007

Effective Date

08/05/2009

Expiration Date

09/30/2012

City

HOMEWOOD

State

Zip

60430

County

COOK

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

11/14/2012