MATAN MOSHE FARHI DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****09

License Status

NOT RENEWED

Business

Title

DMD

First Name

MATAN

Middle

MOSHE

Last Name

FARHI

Business Name

MATAN MOSHE FARHI DMD

Original Issue Date

08/02/2019

Effective Date

08/02/2019

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022