OMAR ASFOUR 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

Last Name

ASFOUR

Business Name

OMAR ASFOUR

Original Issue Date

03/11/2022

Effective Date

05/29/2024

Expiration Date

09/30/2027

City

BATAVIA

State

Zip

60510

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/29/2024