ALI AMRA - Dentist License in Illinois | # 31*****19

ALI AMRA

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****19

License Status

ACTIVE

Business

N

First Name

ALI

Last Name

AMRA

Prefix

MR

Business Name

ALI AMRA

Original Issue Date

05/28/2021

Effective Date

08/02/2024

Expiration Date

09/30/2027

City

BOLINGBROOK

State

IL

Zip

60490

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

08/02/2024