EHAB TAHER AWADI GHANDOUR Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****31

License Status

ACTIVE

Business

First Name

EHAB

Middle

TAHER AWADI

Last Name

GHANDOUR

Business Name

EHAB TAHER AWADI GHANDOUR

Original Issue Date

09/26/2014

Effective Date

06/16/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60607

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/16/2024