TAREK YOUSEF SHABANY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****42

License Status

NOT RENEWED

Business

First Name

TAREK

Middle

YOUSEF

Last Name

SHABANY

Suffix

DDS

Business Name

TAREK YOUSEF SHABANY DDS

Original Issue Date

08/25/2006

Effective Date

08/25/2006

Expiration Date

09/30/2009

City

ST LOUIS

State

Zip

63141

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009