SAMMY ANWAR ELMOSA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****41

License Status

ACTIVE

Business

First Name

SAMMY

Middle

ANWAR

Last Name

ELMOSA

Suffix

DDS

Business Name

SAMMY ANWAR ELMOSA DDS

Original Issue Date

12/07/1999

Effective Date

05/15/2024

Expiration Date

09/30/2027

City

BURBANK

State

Zip

60455

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/15/2024