OUSAMA ANTOON DMD 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

OUSAMA

Last Name

ANTOON

Suffix

DMD

Business Name

OUSAMA ANTOON DMD

Original Issue Date

09/17/1991

Effective Date

09/17/1991

Expiration Date

09/30/1992

City

CAIRO

State

Zip

62914

County

ALEXANDER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005