ISLAM SALEH MOHAMED MOHAMED ELDERBASHY Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****06

License Status

ACTIVE

Business

First Name

ISLAM

Middle

SALEH MOHAMED MOHAMED

Last Name

ELDERBASHY

Business Name

ISLAM SALEH MOHAMED MOHAMED ELDERBASHY

Original Issue Date

02/15/2025

Effective Date

02/15/2025

Expiration Date

09/30/2027

City

WILLIAMSBURG

State

Zip

23188

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2025