BUSHRA AOUTHMANY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****27

License Status

NOT RENEWED

Business

Title

DDS

First Name

BUSHRA

Last Name

AOUTHMANY

Business Name

BUSHRA AOUTHMANY DDS

Original Issue Date

04/20/2017

Effective Date

11/21/2021

Expiration Date

09/30/2024

City

OTTAWA LAKE

State

Zip

49267

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025