MARIA FATAH 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

MARIA

Last Name

FATAH

Suffix

DDS

Business Name

MARIA FATAH DDS

Original Issue Date

08/21/2000

Effective Date

09/24/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60647

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022