FAISEL ASHTEWI Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****95

License Status

ACTIVE

Business

First Name

FAISEL

Last Name

ASHTEWI

Business Name

FAISEL ASHTEWI

Original Issue Date

11/18/2015

Effective Date

05/06/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60607

County

MICHIGAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/06/2024