TINA MARIE KHOURY DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****97

License Status

ACTIVE

Business

Title

DMD

First Name

TINA

Middle

MARIE

Last Name

KHOURY

Business Name

TINA MARIE KHOURY DMD

Original Issue Date

07/29/2015

Effective Date

06/14/2024

Expiration Date

09/30/2027

City

GURNEE

State

Zip

60031

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/14/2024