BRIAN MUHSEN HADDAD DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****30

License Status

NOT RENEWED

Business

Title

DMD

First Name

BRIAN

Middle

MUHSEN

Last Name

HADDAD

Business Name

BRIAN MUHSEN HADDAD DMD

Original Issue Date

08/02/2016

Effective Date

08/09/2018

Expiration Date

01/31/2022

City

GURNEE

State

Zip

60031

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022