FATHI G ABDALLAH Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****40

License Status

ACTIVE

Business

First Name

FATHI

Middle

Last Name

ABDALLAH

Prefix

Business Name

FATHI G ABDALLAH

Original Issue Date

06/07/2021

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

ORLAND PARK

State

Zip

60467

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/16/2024