THAIR O HASAN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****39

License Status

ACTIVE

Business

Title

DMD

First Name

THAIR

Middle

Last Name

HASAN

Business Name

THAIR O HASAN DMD

Original Issue Date

06/07/2021

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

NEW LENOX

State

Zip

60451

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2024