JEFFREY A HAMMOUDEH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000992

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

Last Name

HAMMOUDEH

Business Name

JEFFREY A HAMMOUDEH

Original Issue Date

10/01/1996

Effective Date

10/01/1996

Expiration Date

06/30/2000

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/12/2005