NADEEM SAMSHUDIN ESMAIL DDS MD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000944

License Status

NOT RENEWED

Business

Title

DDS MD

First Name

NADEEM

Middle

SAMSHUDIN

Last Name

ESMAIL

Business Name

NADEEM SAMSHUDIN ESMAIL DDS MD

Original Issue Date

03/07/2016

Effective Date

03/07/2016

Expiration Date

09/30/2018

City

PEORIA

State

Zip

61604

County

PEORIA

Specialty/Qualifier

DEEP SEDATION AND GENERAL ANESTHESIA

Ever Disciplined

LastModifiedDate

10/31/2018