MAZEN EISHO DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****19

License Status

NOT RENEWED

Business

Title

DMD

First Name

MAZEN

Last Name

EISHO

Business Name

MAZEN EISHO DMD

Original Issue Date

07/29/2021

Effective Date

07/29/2021

Expiration Date

09/30/2024

City

PALATINE

State

Zip

60074

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025