MAMDOUH M ATTALLA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****58

License Status

ACTIVE

Business

First Name

MAMDOUH M

Last Name

ATTALLA

Business Name

MAMDOUH M ATTALLA

Original Issue Date

08/24/1990

Effective Date

08/15/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60649

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/15/2024