SAWSAN A ASFOUR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****42

License Status

NOT RENEWED

Business

First Name

SAWSAN A

Last Name

ASFOUR

Suffix

DDS

Business Name

SAWSAN A ASFOUR DDS

Original Issue Date

12/16/1996

Effective Date

05/05/2008

Expiration Date

09/30/2009

City

BURBANK

State

Zip

60457

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009