OMAR L GHONEIM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****18

License Status

NOT RENEWED

Business

Title

DDS

First Name

OMAR

Middle

Last Name

GHONEIM

Business Name

OMAR L GHONEIM DDS

Original Issue Date

06/14/1996

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

CHICAGO

State

Zip

60632

County

COOK

Controlled Substance Schedule

II IV

Ever Disciplined

LastModifiedDate

11/04/2009