ADHAM R BADWAN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****84

License Status

ACTIVE

Business

First Name

ADHAM

Middle

Last Name

BADWAN

Prefix

Business Name

ADHAM R BADWAN

Original Issue Date

08/14/2015

Effective Date

05/04/2024

Expiration Date

09/30/2027

City

TINLEY PARK

State

Zip

60487

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/04/2024