HANEEN AFANEH DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****04

License Status

NOT RENEWED

Business

Title

DMD

First Name

HANEEN

Last Name

AFANEH

Business Name

HANEEN AFANEH DMD

Original Issue Date

06/25/2020

Effective Date

06/25/2020

Expiration Date

01/31/2022

City

SCHERERVILLE

State

Zip

46375

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022