FAWAZ KANNOUT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****29

License Status

NOT RENEWED

Business

First Name

FAWAZ

Last Name

KANNOUT

Suffix

DDS

Business Name

FAWAZ KANNOUT DDS

Original Issue Date

11/23/1998

Effective Date

11/12/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60630

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018