HUSAM E AL-DAIRI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****55

License Status

NOT RENEWED

Business

First Name

HUSAM E

Last Name

AL-DAIRI

Business Name

HUSAM E AL-DAIRI

Original Issue Date

07/28/1993

Effective Date

10/19/2009

Expiration Date

09/30/2012

City

ADDISON

State

Zip

60101

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012