YASSER A ELSEWEIFI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****04

License Status

NOT RENEWED

Business

First Name

YASSER

Middle

Last Name

ELSEWEIFI

Suffix

DDS

Business Name

YASSER A ELSEWEIFI DDS

Original Issue Date

08/02/2007

Effective Date

08/02/2007

Expiration Date

09/30/2009

City

CHICAGO

State

Zip

60602

County

COOK

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009