OMAR AHMAD ALI DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****65

License Status

ACTIVE

Business

First Name

OMAR

Middle

AHMAD

Last Name

ALI DMD

Business Name

OMAR AHMAD ALI DMD

Original Issue Date

09/26/2018

Effective Date

06/04/2024

Expiration Date

09/30/2027

City

GIBSON CITY

State

Zip

60936

County

FORD

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/04/2024