DANIEL YACOOB DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****54

License Status

NOT RENEWED

Business

Title

DMD

First Name

DANIEL

Last Name

YACOOB

Business Name

DANIEL YACOOB DMD

Original Issue Date

08/09/2018

Effective Date

08/09/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60605

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022