SARAH ABDELAZIZ MAHMOUD DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****00

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

ABDELAZIZ

Last Name

MAHMOUD

Suffix

DMD

Business Name

SARAH ABDELAZIZ MAHMOUD DMD

Original Issue Date

04/04/2014

Effective Date

04/04/2014

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60625

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016