OMAR YOUSEF SOUMAN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****05

License Status

ACTIVE

Business

First Name

OMAR

Middle

YOUSEF

Last Name

SOUMAN

Business Name

OMAR YOUSEF SOUMAN

Original Issue Date

09/17/2021

Effective Date

05/03/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60601

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/03/2024