GEORGE KHAZOUM DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****04

License Status

ACTIVE

Business

Title

DDS

First Name

GEORGE

Last Name

KHAZOUM

Business Name

GEORGE KHAZOUM DDS

Original Issue Date

10/13/2017

Effective Date

06/02/2024

Expiration Date

09/30/2027

City

NEW PORT RICHEY

State

Zip

34652

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/02/2024