KEROLOS RAGAEY HELMY ELSAYED DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****14

License Status

NOT RENEWED

Business

Title

DMD

First Name

KEROLOS

Middle

RAGAEY HELMY

Last Name

ELSAYED

Business Name

KEROLOS RAGAEY HELMY ELSAYED DMD

Original Issue Date

10/19/2017

Effective Date

10/19/2017

Expiration Date

09/30/2018

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018