FATIMA IBRAHIM MOHAMED Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011266

License Status

NOT RENEWED

Business

First Name

FATIMA

Middle

IBRAHIM

Last Name

MOHAMED

Business Name

FATIMA IBRAHIM MOHAMED

Original Issue Date

03/31/2005

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

11/08/2006