FADI EMMANUEL KREISHEH DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****33

License Status

NOT RENEWED

Business

Title

DMD

First Name

FADI

Middle

EMMANUEL

Last Name

KREISHEH

Business Name

FADI EMMANUEL KREISHEH DMD

Original Issue Date

09/16/2020

Effective Date

11/13/2021

Expiration Date

09/30/2024

City

SKOKIE

State

Zip

60076

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025