RAWAN MICHAEL TANNOUS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****28

License Status

NOT RENEWED

Business

Title

DDS

First Name

RAWAN

Middle

MICHAEL

Last Name

TANNOUS

Business Name

RAWAN MICHAEL TANNOUS DDS

Original Issue Date

04/21/2017

Effective Date

07/25/2018

Expiration Date

01/31/2022

City

CARMEL

State

Zip

46032

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022