ISSAM J SALEH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****66

License Status

NOT RENEWED

Business

First Name

ISSAM J

Last Name

SALEH

Business Name

ISSAM J SALEH

Original Issue Date

09/22/1987

Effective Date

09/23/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60618

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018