Dentist
LICENSED DENTIST CONTROLLED SUBSTANCE
31*****93
ACTIVE
N
DMD
JOHNATHON AUSTIN
BUEN-GHARIB
JOHNATHON AUSTIN BUEN-GHARIB DMD
12/26/2023
10/01/2024
09/30/2027
ELMWOOD PARK
IL
60707
COOK
PRACTITIONER
II III IV V
10/16/2024