KENAN TARABISHY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****74

License Status

NOT RENEWED

Business

First Name

KENAN

Last Name

TARABISHY

Suffix

DDS

Business Name

KENAN TARABISHY DDS

Original Issue Date

01/30/2012

Effective Date

09/09/2016

Expiration Date

09/30/2018

City

WESTMON

State

Zip

60559

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018