MONZER K AL-DADAH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****14

License Status

NOT RENEWED

Business

First Name

MONZER K

Last Name

AL-DADAH

Suffix

DDS

Business Name

MONZER K AL-DADAH DDS

Original Issue Date

10/26/1994

Effective Date

10/26/1994

Expiration Date

09/30/1998

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005