DINA D ALQAWASMA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

ACTIVE

Business

First Name

DINA

Middle

Last Name

ALQAWASMA

Business Name

DINA D ALQAWASMA

Original Issue Date

06/01/2019

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

SUMMIT

State

Zip

60501

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/30/2024