MANSOUR MUSA MOHAMMED DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****15

License Status

ACTIVE

Business

Title

DDS

First Name

MANSOUR

Middle

MUSA

Last Name

MOHAMMED

Business Name

MANSOUR MUSA MOHAMMED DDS

Original Issue Date

06/17/2024

Effective Date

06/17/2024

Expiration Date

09/30/2027

City

LOCKPORT

State

Zip

60441

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/21/2024