MOHAMMAD JAMAL HISHMEH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****95

License Status

NOT RENEWED

Business

First Name

MOHAMMAD

Middle

JAMAL

Last Name

HISHMEH

Business Name

MOHAMMAD JAMAL HISHMEH

Original Issue Date

07/19/2002

Effective Date

07/13/2009

Expiration Date

09/30/2012

City

MOKENA

State

Zip

60448

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012