BANA ATASSI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****40

License Status

NOT RENEWED

Business

First Name

BANA

Last Name

ATASSI

Suffix

DDS

Business Name

BANA ATASSI DDS

Original Issue Date

08/02/1995

Effective Date

08/02/1995

Expiration Date

09/30/1996

City

BURBANK

State

Zip

60459

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005