NADEEM SAMSHUDIN ESMAIL DDS MD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****55

License Status

NOT RENEWED

Business

Title

DDS MD

First Name

NADEEM

Middle

SAMSHUDIN

Last Name

ESMAIL

Business Name

NADEEM SAMSHUDIN ESMAIL DDS MD

Original Issue Date

03/07/2016

Effective Date

03/07/2016

Expiration Date

09/30/2018

City

PEORIA

State

Zip

61604

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018