AYAS MAKKI DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****87

License Status

NOT RENEWED

Business

Title

DMD

First Name

AYAS

Last Name

MAKKI

Business Name

AYAS MAKKI DMD

Original Issue Date

06/22/2017

Effective Date

06/22/2017

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60654

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018