AMIRA A EL DAIBANI DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****94

License Status

ACTIVE

Business

Title

DMD

First Name

AMIRA

Middle

Last Name

EL DAIBANI

Business Name

AMIRA A EL DAIBANI DMD

Original Issue Date

07/29/2024

Effective Date

07/29/2024

Expiration Date

09/30/2027

City

TROY

State

Zip

62294

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/29/2024