GHAYDA ALI DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****76

License Status

ACTIVE

Business

Title

DMD

First Name

GHAYDA

Last Name

ALI

Business Name

GHAYDA ALI DMD

Original Issue Date

07/03/2024

Effective Date

07/03/2024

Expiration Date

09/30/2027

City

BURR RIDGE

State

Zip

60527

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/03/2024