MALLAK AHMAD DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****91

License Status

ACTIVE

Business

Title

DMD

First Name

MALLAK

Last Name

AHMAD

Business Name

MALLAK AHMAD DMD

Original Issue Date

08/21/2025

Effective Date

08/21/2025

Expiration Date

09/30/2027

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/21/2025