OMAR L GHONEIM DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****56

License Status

ACTIVE

Business

Title

DDS

First Name

OMAR

Middle

Last Name

GHONEIM

Business Name

OMAR L GHONEIM DDS

Original Issue Date

10/06/2015

Effective Date

08/30/2024

Expiration Date

09/30/2027

City

BERKLEY

State

Zip

60163

County

MASSACHUSETTS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/30/2024