FEROSS W ATALLAH 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

FEROSS

Middle

Last Name

ATALLAH

Business Name

FEROSS W ATALLAH DMD

Original Issue Date

07/18/2022

Effective Date

05/27/2024

Expiration Date

09/30/2027

City

PALOS HILLS

State

Zip

60465

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/27/2024