SELMA MOHAMMEDI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****03

License Status

NOT RENEWED

Business

First Name

SELMA

Last Name

MOHAMMEDI

Business Name

SELMA MOHAMMEDI

Original Issue Date

09/09/2019

Effective Date

09/09/2019

Expiration Date

01/31/2022

City

FRANKFORT

State

Zip

60423

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022