ALEXANDRA AMIRAH SEAL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****24

License Status

NOT RENEWED

Business

Title

DDS

First Name

ALEXANDRA

Middle

AMIRAH

Last Name

SEAL

Business Name

ALEXANDRA AMIRAH SEAL DDS

Original Issue Date

06/27/2014

Effective Date

07/20/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018