ISRAA S GOLAM Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****79

License Status

ACTIVE

Business

First Name

ISRAA

Middle

Last Name

GOLAM

Business Name

ISRAA S GOLAM

Original Issue Date

06/19/2013

Effective Date

07/12/2024

Expiration Date

09/30/2027

City

AURORA

State

Zip

60503

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/12/2024