MAHMOUD JALLAD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****56

License Status

ACTIVE

Business

First Name

MAHMOUD

Last Name

JALLAD

Business Name

MAHMOUD JALLAD

Original Issue Date

08/07/2014

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/24/2025