AMJAD ALI Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****89

License Status

ACTIVE

Business

First Name

AMJAD

Last Name

ALI

Business Name

AMJAD ALI

Original Issue Date

02/26/2018

Effective Date

09/09/2024

Expiration Date

09/30/2027

City

OSWEGO

State

Zip

60543

County

KENDALL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/09/2024