ABDULA ELKHADRA DDM Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****43

License Status

ACTIVE

Business

Title

DDM

First Name

ABDULA

Last Name

ELKHADRA

Business Name

ABDULA ELKHADRA DDM

Original Issue Date

10/22/2019

Effective Date

09/15/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60660

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/15/2024