SAMIH A ATTIA DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****21

License Status

NOT RENEWED

Business

First Name

SAMIH

Middle

Last Name

ATTIA

Suffix

DMD

Business Name

SAMIH A ATTIA DMD

Original Issue Date

03/08/2000

Effective Date

03/08/2000

Expiration Date

09/30/2000

City

CHICAGO

State

Zip

60618

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005