GHADA S ADHAMI Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****62

License Status

ACTIVE

Business

First Name

GHADA

Middle

Last Name

ADHAMI

Business Name

GHADA S ADHAMI

Original Issue Date

05/12/2010

Effective Date

08/02/2024

Expiration Date

09/30/2027

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/02/2024