FADI M AQEL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****75

License Status

NOT RENEWED

Business

First Name

FADI

Middle

Last Name

AQEL

Suffix

DDS

Business Name

FADI M AQEL DDS

Original Issue Date

05/30/2006

Effective Date

08/24/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60632

County

COOK

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012