FERAS AL KHATIB Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

ACTIVE

Business

First Name

FERAS

Last Name

AL KHATIB

Business Name

FERAS AL KHATIB

Original Issue Date

10/15/2018

Effective Date

05/28/2024

Expiration Date

09/30/2027

City

SAINT LOUIS

State

Zip

63122

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/28/2024