OSAMA S ISMAIL Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****83

License Status

ACTIVE

Business

First Name

OSAMA S

Last Name

ISMAIL

Business Name

OSAMA S ISMAIL

Original Issue Date

02/11/1992

Effective Date

09/04/2024

Expiration Date

09/30/2027

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/04/2024