EJLAL ALALAWI DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000919

License Status

NOT RENEWED

Business

Title

DMD

First Name

EJLAL

Last Name

ALALAWI

Business Name

EJLAL ALALAWI DMD

Original Issue Date

06/22/2015

Effective Date

06/12/2018

Expiration Date

01/31/2022

City

WALES

State

Zip

53183

County

WISCONSIN

Specialty/Qualifier

DEEP SEDATION AND GENERAL ANESTHESIA

Ever Disciplined

LastModifiedDate

05/09/2022