ADAM SAMMY ELMOSA DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****72

License Status

ACTIVE

Business

Title

DMD

First Name

ADAM

Middle

SAMMY

Last Name

ELMOSA

Business Name

ADAM SAMMY ELMOSA DMD

Original Issue Date

07/18/2024

Effective Date

07/18/2024

Expiration Date

09/30/2027

City

ORLAND PARK

State

Zip

60462

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/18/2024