JOUMANA BASHA-FARHAT DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****86

License Status

ACTIVE

Business

First Name

JOUMANA

Last Name

BASHA-FARHAT

Suffix

DMD

Business Name

JOUMANA BASHA-FARHAT DMD

Original Issue Date

06/14/2007

Effective Date

09/28/2024

Expiration Date

09/30/2027

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/28/2024