REFAAT M HASSAN 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

REFAAT

Middle

Last Name

HASSAN

Suffix

DDS

Business Name

REFAAT M HASSAN DDS

Original Issue Date

06/29/2000

Effective Date

06/29/2000

Expiration Date

09/30/2002

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005