AZIZ CASSUMALLI ABDULLA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****04

License Status

NOT RENEWED

Business

First Name

AZIZ CASSUMALLI

Last Name

ABDULLA

Business Name

AZIZ CASSUMALLI ABDULLA

Original Issue Date

02/09/1984

Effective Date

02/09/1984

Expiration Date

09/30/1996

City

HAZELCREST

State

Zip

60429

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005