MOHAMED TAREK A OMRAN BDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000141

License Status

EXPIRED

Business

Title

BDS

First Name

MOHAMED TAREK

Middle

Last Name

OMRAN

Business Name

MOHAMED TAREK A OMRAN BDS

Original Issue Date

06/18/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

08/29/2012