BASEL NAJAH HUSSEINI DDS Dentist License verification

Business Entity

INOPERATIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****65

License Status

INOPERATIVE

Business

First Name

BASEL

Middle

NAJAH

Last Name

HUSSEINI

Suffix

DDS

Business Name

BASEL NAJAH HUSSEINI DDS

Original Issue Date

09/02/1999

Effective Date

09/02/1999

Expiration Date

09/30/2002

City

CHICAGO

State

Zip

60640

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005