WISAM MUSA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****67

License Status

ACTIVE

Business

Title

DDS

First Name

WISAM

Last Name

MUSA

Business Name

WISAM MUSA DDS

Original Issue Date

08/25/2021

Effective Date

06/30/2024

Expiration Date

09/30/2027

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/30/2024