SAMY L SAMAAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****52

License Status

NOT RENEWED

Business

First Name

SAMY

Middle

Last Name

SAMAAN

Suffix

DDS

Business Name

SAMY L SAMAAN DDS

Original Issue Date

09/04/2003

Effective Date

09/09/2009

Expiration Date

09/30/2012

City

AURORA

State

Zip

60504

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012