ABDUL MONIM ALA ALBAZZAZ DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****45

License Status

ACTIVE

Business

Title

DMD

First Name

ABDUL MONIM

Middle

ALA

Last Name

ALBAZZAZ

Business Name

ABDUL MONIM ALA ALBAZZAZ DMD

Original Issue Date

06/23/2015

Effective Date

06/18/2024

Expiration Date

09/30/2027

City

SOUTH ELGIN

State

Zip

60177

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/18/2024