WAEIL H ELMISALATI Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****02

License Status

ACTIVE

Business

First Name

WAEIL

Middle

Last Name

ELMISALATI

Business Name

WAEIL H ELMISALATI

Original Issue Date

12/03/2015

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60610

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/26/2024