OMAR EMAD ALHMOUD DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****54

License Status

NOT RENEWED

Business

Title

DDS

First Name

OMAR

Middle

EMAD

Last Name

ALHMOUD

Business Name

OMAR EMAD ALHMOUD DDS

Original Issue Date

09/11/2017

Effective Date

09/11/2017

Expiration Date

09/30/2018

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018