OMAR J SHALASH Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****32

License Status

ACTIVE

Business

First Name

OMAR

Middle

Last Name

SHALASH

Business Name

OMAR J SHALASH

Original Issue Date

08/08/2019

Effective Date

09/16/2024

Expiration Date

09/30/2027

City

TINLEY PARK

State

Zip

60477

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/16/2024