MOHAMMAD A SHUAYB DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****85

License Status

NOT RENEWED

Business

First Name

MOHAMMAD

Middle

Last Name

SHUAYB

Suffix

DMD

Business Name

MOHAMMAD A SHUAYB DMD

Original Issue Date

10/21/1998

Effective Date

10/21/1998

Expiration Date

09/30/2000

City

CHICAGO

State

Zip

60619

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005