AHMAD IBRAHIM EL MALLAH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****39

License Status

NOT RENEWED

Business

First Name

AHMAD

Middle

IBRAHIM

Last Name

EL MALLAH

Suffix

DDS

Business Name

AHMAD IBRAHIM EL MALLAH DDS

Original Issue Date

10/14/2010

Effective Date

10/22/2013

Expiration Date

09/30/2015

City

OAKBROOK TERRACE

State

Zip

60181

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016