DOUAA M GIRGIS DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****47

License Status

NOT RENEWED

Business

First Name

DOUAA M

Last Name

GIRGIS

Suffix

DMD

Business Name

DOUAA M GIRGIS DMD

Original Issue Date

08/05/1994

Effective Date

08/05/1994

Expiration Date

09/30/1996

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005