OSAMA S ISMAIL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****82

License Status

NOT RENEWED

Business

First Name

OSAMA S

Last Name

ISMAIL

Business Name

OSAMA S ISMAIL

Original Issue Date

02/26/1990

Effective Date

02/26/1990

Expiration Date

09/30/1992

City

CHICAGO

State

Zip

60613

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005