MOHAMED ALI BOUKHEIR DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

NOT RENEWED

Business

Title

DMD

First Name

MOHAMED

Middle

ALI

Last Name

BOUKHEIR

Business Name

MOHAMED ALI BOUKHEIR DMD

Original Issue Date

04/22/2016

Effective Date

04/22/2016

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60661

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018