MUSTAFA SAAD SALAM DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****59

License Status

NOT RENEWED

Business

Title

DMD

First Name

MUSTAFA

Middle

SAAD

Last Name

SALAM

Business Name

MUSTAFA SAAD SALAM DMD

Original Issue Date

11/07/2019

Effective Date

11/07/2019

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60659

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022