AYMAN FAYYAD DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****19

License Status

NOT RENEWED

Business

Title

DMD

First Name

AYMAN

Last Name

FAYYAD

Business Name

AYMAN FAYYAD DMD

Original Issue Date

08/11/2006

Effective Date

07/30/2013

Expiration Date

09/30/2015

City

BOURBONNAISE

State

Zip

60914

County

KANKAKEE

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016