MIRA KAMEL EGBARIA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****44

License Status

ACTIVE

Business

Title

DDS

First Name

MIRA

Middle

KAMEL

Last Name

EGBARIA

Business Name

MIRA KAMEL EGBARIA DDS

Original Issue Date

09/06/2017

Effective Date

09/23/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/23/2024