SAMRA ALI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

NOT RENEWED

Business

First Name

SAMRA

Last Name

ALI

Business Name

SAMRA ALI

Original Issue Date

10/03/2023

Effective Date

10/03/2023

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60605

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025