HIBA ELSIR NOURAHMED DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****27

License Status

NOT RENEWED

Business

Title

DDS

First Name

HIBA

Middle

ELSIR

Last Name

NOURAHMED

Business Name

HIBA ELSIR NOURAHMED DDS

Original Issue Date

09/24/2014

Effective Date

09/24/2014

Expiration Date

09/30/2015

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016