SAMY HUSSAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****69

License Status

NOT RENEWED

Business

Title

DDS

First Name

SAMY

Last Name

HUSSAN

Business Name

SAMY HUSSAN DDS

Original Issue Date

08/06/2010

Effective Date

08/06/2010

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60707

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

11/14/2012