TAREK ELSEWEIFI Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****36

License Status

ACTIVE

Business

First Name

TAREK

Last Name

ELSEWEIFI

Business Name

TAREK ELSEWEIFI

Original Issue Date

05/30/2018

Effective Date

07/07/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60647

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/07/2024