MOHAMMAD YOUSEF SALEH DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****07

License Status

NOT RENEWED

Business

First Name

MOHAMMAD

Middle

YOUSEF

Last Name

SALEH

Suffix

DMD

Business Name

MOHAMMAD YOUSEF SALEH DMD

Original Issue Date

08/31/1998

Effective Date

08/31/1998

Expiration Date

09/30/2000

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005