YASIR RIADH ISSA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****51

License Status

NOT RENEWED

Business

Title

DDS

First Name

YASIR

Middle

RIADH

Last Name

ISSA

Business Name

YASIR RIADH ISSA DDS

Original Issue Date

08/30/2013

Effective Date

08/30/2013

Expiration Date

09/30/2015

City

WAUKEGAN

State

Zip

60087

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016