ALIA EZZIDDIN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****19

License Status

ACTIVE

Business

Title

DMD

First Name

ALIA

Last Name

EZZIDDIN

Business Name

ALIA EZZIDDIN DMD

Original Issue Date

10/31/2006

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

WILMETTE

State

Zip

60091

County

COOK

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024