MAHMOUD ABOULFARAG Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****08

License Status

ACTIVE

Business

First Name

MAHMOUD

Last Name

ABOULFARAG

Business Name

MAHMOUD ABOULFARAG

Original Issue Date

11/26/2025

Effective Date

11/26/2025

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/26/2025