MANAL TABBA DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****23

License Status

NOT RENEWED

Business

Title

DMD

First Name

MANAL

Last Name

TABBA

Business Name

MANAL TABBA DMD

Original Issue Date

09/22/2021

Effective Date

09/22/2021

Expiration Date

09/30/2024

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025