REFAAT M HASSAN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****74

License Status

ACTIVE

Business

First Name

REFAAT

Middle

Last Name

HASSAN

Suffix

DDS

Business Name

REFAAT M HASSAN DDS

Original Issue Date

09/14/2000

Effective Date

09/08/2024

Expiration Date

09/30/2027

City

SPRINGFIELD IL

State

Zip

62703

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/08/2024