EMAD E AZAB DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****94

License Status

NOT RENEWED

Business

First Name

EMAD E

Last Name

AZAB

Suffix

DDS

Business Name

EMAD E AZAB DDS

Original Issue Date

03/08/2018

Effective Date

06/27/2018

Expiration Date

01/31/2022

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022