ZAID JERRIE AL-SAMIR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****10

License Status

NOT RENEWED

Business

Title

DDS

First Name

ZAID

Middle

JERRIE

Last Name

AL-SAMIR

Business Name

ZAID JERRIE AL-SAMIR DDS

Original Issue Date

06/28/2013

Effective Date

06/28/2013

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60647

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016