HATEM MOKTHAR GELANI Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****12

License Status

ACTIVE

Business

First Name

HATEM

Middle

MOKTHAR

Last Name

GELANI

Business Name

HATEM MOKTHAR GELANI

Original Issue Date

10/15/2018

Effective Date

07/01/2024

Expiration Date

09/30/2027

City

GRAND RAPIDS

State

Zip

49505

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/01/2024