TAMER MOUKAIED Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****42

License Status

ACTIVE

Business

First Name

TAMER

Last Name

MOUKAIED

Business Name

TAMER MOUKAIED

Original Issue Date

03/02/2020

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/20/2024