MOHAMAD HASSAN ABDUL AZIM Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****91

License Status

ACTIVE

Business

First Name

MOHAMAD HASSAN

Last Name

ABDUL AZIM

Business Name

MOHAMAD HASSAN ABDUL AZIM

Original Issue Date

11/16/2020

Effective Date

08/25/2024

Expiration Date

09/30/2027

City

WESTMONT

State

Zip

60559

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/25/2024