MARIA FATAH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****78

License Status

NOT RENEWED

Business

First Name

MARIA

Last Name

FATAH

Suffix

DDS

Business Name

MARIA FATAH DDS

Original Issue Date

03/06/2023

Effective Date

03/06/2023

Expiration Date

09/30/2024

City

WILMETTE

State

Zip

60091

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025