NOUR ISSA DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****48

License Status

ACTIVE

Business

Title

DMD

First Name

NOUR

Last Name

ISSA

Business Name

NOUR ISSA DMD

Original Issue Date

10/31/2023

Effective Date

09/12/2024

Expiration Date

09/30/2027

City

ORLAND PARK

State

Zip

60462

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/12/2024