TESNEIM H AWADALLAH DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****49

License Status

ACTIVE

Business

Title

DMD

First Name

TESNEIM

Middle

Last Name

AWADALLAH

Business Name

TESNEIM H AWADALLAH DMD

Original Issue Date

08/24/2021

Effective Date

09/27/2024

Expiration Date

09/30/2027

City

ORLAND PARK

State

Zip

60467

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/27/2024