OMER MOHAMED ALI IBRAHIM Dentist License verification

Business Entity

INOPERATIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****27

License Status

INOPERATIVE

Business

First Name

OMER

Middle

MOHAMED ALI

Last Name

IBRAHIM

Business Name

OMER MOHAMED ALI IBRAHIM

Original Issue Date

09/28/2022

Effective Date

08/26/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60632

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/26/2024