LAITH VICTOR Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****66

License Status

ACTIVE

Business

First Name

LAITH

Last Name

VICTOR

Business Name

LAITH VICTOR

Original Issue Date

06/16/2023

Effective Date

05/07/2024

Expiration Date

09/30/2027

City

CLINTON TOWNSHIP

State

Zip

48038

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/07/2024