YASSER A ELSEWEIFI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****12

License Status

NOT RENEWED

Business

First Name

YASSER

Middle

Last Name

ELSEWEIFI

Suffix

DDS

Business Name

YASSER A ELSEWEIFI DDS

Original Issue Date

02/22/1994

Effective Date

02/22/1994

Expiration Date

09/30/2004

City

LOMBARD

State

Zip

60148

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005