LENA MASOUD QAHWASH DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

ACTIVE

Business

First Name

LENA

Middle

MASOUD

Last Name

QAHWASH

Suffix

DDS

Business Name

LENA MASOUD QAHWASH DDS

Original Issue Date

08/05/2002

Effective Date

08/09/2024

Expiration Date

09/30/2027

City

PLAINFIELD

State

Zip

60544

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/09/2024