IYAD S AWADALLAH Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****94

License Status

ACTIVE

Business

First Name

IYAD

Middle

Last Name

AWADALLAH

Business Name

IYAD S AWADALLAH

Original Issue Date

02/15/2012

Effective Date

05/15/2024

Expiration Date

09/30/2027

City

TINLEY PARK

State

Zip

60487

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

05/15/2024