NEZAR AHMED KASSEM DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****77

License Status

ACTIVE

Business

First Name

NEZAR

Middle

AHMED

Last Name

KASSEM

Suffix

DDS

Business Name

NEZAR AHMED KASSEM DDS

Original Issue Date

10/16/2001

Effective Date

08/15/2024

Expiration Date

09/30/2027

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/15/2024