AMJAD JALIL ALQAZAHA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****71

License Status

ACTIVE

Business

Title

DDS

First Name

AMJAD

Middle

JALIL

Last Name

ALQAZAHA

Business Name

AMJAD JALIL ALQAZAHA DDS

Original Issue Date

07/02/2012

Effective Date

08/12/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60638

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/12/2024