MAHA F BLAIBEL-SHAHSHOUH Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****72

License Status

ACTIVE

Business

First Name

MAHA

Middle

Last Name

BLAIBEL-SHAHSHOUH

Business Name

MAHA F BLAIBEL-SHAHSHOUH

Original Issue Date

07/20/2006

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

ROLLING MEADOWS

State

Zip

60008

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024