GHASSAN ABBOUD DDS - Dentist License in Illinois | # 31*****80

GHASSAN ABBOUD DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****80

License Status

NOT RENEWED

Business

N

First Name

GHASSAN

Last Name

ABBOUD

Suffix

DDS

Business Name

GHASSAN ABBOUD DDS

Original Issue Date

10/03/2003

Effective Date

10/03/2003

Expiration Date

09/30/2006

State

IL

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

11/08/2006