BANA MASHNOUK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****06

License Status

NOT RENEWED

Business

First Name

BANA

Last Name

MASHNOUK

Suffix

DDS

Business Name

BANA MASHNOUK DDS

Original Issue Date

11/27/2001

Effective Date

12/23/2015

Expiration Date

09/30/2018

City

WESTMONT

State

Zip

60559

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018