WISAM R MOHAMMAD DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****21

License Status

ACTIVE

Business

First Name

WISAM

Middle

Last Name

MOHAMMAD

Suffix

DDS

Business Name

WISAM R MOHAMMAD DDS

Original Issue Date

11/19/2002

Effective Date

06/15/2025

Expiration Date

09/30/2027

City

WEST CHICAGO

State

Zip

60185

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/15/2025