MAMDOUH ALRATA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****49

License Status

NOT RENEWED

Business

First Name

MAMDOUH

Last Name

ALRATA

Business Name

MAMDOUH ALRATA

Original Issue Date

09/08/2017

Effective Date

11/01/2021

Expiration Date

09/30/2024

City

EAST SAINT LOUIS

State

Zip

62205

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025