NEZAR AHMED KASSEM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****30

License Status

NOT RENEWED

Business

First Name

NEZAR

Middle

AHMED

Last Name

KASSEM

Suffix

DDS

Business Name

NEZAR AHMED KASSEM DDS

Original Issue Date

11/08/1999

Effective Date

11/08/1999

Expiration Date

09/30/2002

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005