MAZEN YOUSEF SULTAN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031075

License Status

NOT RENEWED

Business

Title

DMD

First Name

MAZEN

Middle

YOUSEF

Last Name

SULTAN

Business Name

MAZEN YOUSEF SULTAN DMD

Original Issue Date

04/20/2017

Effective Date

12/16/2021

Expiration Date

09/30/2024

City

LAKE ST LOUIS

State

Zip

63367

Ever Disciplined

LastModifiedDate

02/04/2025