ADY AHMED AZHARI Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000210

License Status

EXPIRED

Business

First Name

ADY

Middle

AHMED

Last Name

AZHARI

Business Name

ADY AHMED AZHARI

Original Issue Date

06/28/2016

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

11/28/2022