MAYA MOUAZEB DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****28

License Status

NOT RENEWED

Business

First Name

MAYA

Last Name

MOUAZEB

Suffix

DDS

Business Name

MAYA MOUAZEB DDS

Original Issue Date

03/19/2001

Effective Date

03/19/2001

Expiration Date

09/30/2006

City

PALOS PARK

State

Zip

60464

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006