PHEBA MARIN ABRAHAM DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****89

License Status

NOT RENEWED

Business

Title

DMD

First Name

PHEBA

Middle

MARIN

Last Name

ABRAHAM

Business Name

PHEBA MARIN ABRAHAM DMD

Original Issue Date

05/27/2020

Effective Date

12/24/2021

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025