MICHAEL SAM FAKHOURI Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****44

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

SAM

Last Name

FAKHOURI

Business Name

MICHAEL SAM FAKHOURI

Original Issue Date

07/01/2022

Effective Date

08/19/2024

Expiration Date

09/30/2027

City

AURORA

State

Zip

60504

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/19/2024