MUSTAPHA ABDALLAH HOTAIT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****82

License Status

NOT RENEWED

Business

First Name

MUSTAPHA

Middle

ABDALLAH

Last Name

HOTAIT

Business Name

MUSTAPHA ABDALLAH HOTAIT

Original Issue Date

09/01/2009

Effective Date

06/11/2015

Expiration Date

09/30/2018

City

DOLTON

State

Zip

60419

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018