WISSAM AZZAM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019034890

License Status

NOT RENEWED

Business

Title

DDS

First Name

WISSAM

Last Name

AZZAM

Business Name

WISSAM AZZAM DDS

Original Issue Date

02/11/2024

Effective Date

02/11/2024

Expiration Date

09/30/2024

City

HOLTSVILLE

State

Zip

11742

Ever Disciplined

LastModifiedDate

02/04/2025