ESSAM IBRAHIM DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****03

License Status

ACTIVE

Business

Title

DMD

First Name

ESSAM

Last Name

IBRAHIM

Business Name

ESSAM IBRAHIM DMD

Original Issue Date

12/22/2020

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

FORRESTON

State

Zip

61030

County

OGLE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/16/2024