SAMER NASSER-EDDIN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****08

License Status

NOT RENEWED

Business

Title

DDS

First Name

SAMER

Last Name

NASSER-EDDIN

Business Name

SAMER NASSER-EDDIN DDS

Original Issue Date

12/08/2015

Effective Date

12/08/2015

Expiration Date

09/30/2018

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018