OMAR JAWDAT SALAMEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****80

License Status

NOT RENEWED

Business

First Name

OMAR

Middle

JAWDAT

Last Name

SALAMEN

Suffix

DDS

Business Name

OMAR JAWDAT SALAMEN DDS

Original Issue Date

04/12/2013

Effective Date

04/12/2013

Expiration Date

09/30/2015

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016