HASAN FAWWAZ OTHMAN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025815

License Status

ACTIVE

Business

First Name

HASAN

Middle

FAWWAZ

Last Name

OTHMAN

Business Name

HASAN FAWWAZ OTHMAN

Original Issue Date

05/13/2002

Effective Date

05/09/2024

Expiration Date

09/30/2027

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/09/2024