OMAR YOUSEF SOUMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****50

License Status

NOT RENEWED

Business

First Name

OMAR

Middle

YOUSEF

Last Name

SOUMAN

Business Name

OMAR YOUSEF SOUMAN

Original Issue Date

05/26/2011

Effective Date

06/07/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60601

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022