KHALED BASSAM BISHAWI DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

ACTIVE

Business

Title

DMD

First Name

KHALED

Middle

BASSAM

Last Name

BISHAWI

Business Name

KHALED BASSAM BISHAWI DMD

Original Issue Date

09/09/2024

Effective Date

09/09/2024

Expiration Date

09/30/2027

City

RIVERDALE

State

Zip

60827

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/09/2024