OUSAMA ANTOON DMD - Dentist License in Illinois | # 018000485

OUSAMA ANTOON DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000485

License Status

NOT RENEWED

Business

N

First Name

OUSAMA

Last Name

ANTOON

Suffix

DMD

Business Name

OUSAMA ANTOON DMD

Original Issue Date

07/26/1990

Effective Date

07/26/1990

Expiration Date

06/30/1991

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005