SALLY AYOOB DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****06

License Status

NOT RENEWED

Business

Title

DMD

First Name

SALLY

Last Name

AYOOB

Business Name

SALLY AYOOB DMD

Original Issue Date

07/21/2021

Effective Date

07/21/2021

Expiration Date

09/30/2024

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025