ANDREW P FAKHOURY Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****47

License Status

ACTIVE

Business

First Name

ANDREW

Middle

Last Name

FAKHOURY

Business Name

ANDREW P FAKHOURY

Original Issue Date

10/30/2018

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

TROY

State

Zip

48098

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2024