MOSTAFA IBRAHIM Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

ACTIVE

Business

First Name

MOSTAFA

Last Name

IBRAHIM

Business Name

MOSTAFA IBRAHIM

Original Issue Date

08/25/2021

Effective Date

09/19/2024

Expiration Date

09/30/2027

City

AURORA

State

Zip

60504

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/19/2024