HALA AFIFA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****53

License Status

ACTIVE

Business

First Name

HALA

Last Name

AFIFA

Business Name

HALA AFIFA

Original Issue Date

02/25/2022

Effective Date

07/03/2024

Expiration Date

09/30/2027

City

LIBERTYVILLE

State

Zip

60048

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/03/2024