LEENA JIBAWI DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****45

License Status

ACTIVE

Business

Title

DMD

First Name

LEENA

Last Name

JIBAWI

Business Name

LEENA JIBAWI DMD

Original Issue Date

08/12/2024

Effective Date

08/12/2024

Expiration Date

09/30/2027

City

LIVONIA

State

Zip

48150

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/12/2024