TAYSEER AHMED IBRAHIM Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****00

License Status

ACTIVE

Business

First Name

TAYSEER

Middle

AHMED

Last Name

IBRAHIM

Business Name

TAYSEER AHMED IBRAHIM

Original Issue Date

07/23/2002

Effective Date

07/12/2024

Expiration Date

09/30/2027

City

GURNEE

State

Zip

60031

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/12/2024