ISAM HAMATI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****78

License Status

NOT RENEWED

Business

First Name

ISAM

Last Name

HAMATI

Suffix

DDS

Business Name

ISAM HAMATI DDS

Original Issue Date

01/25/2008

Effective Date

07/29/2015

Expiration Date

09/30/2018

City

FAYETTEVILLE

State

Zip

13066

County

NEW YORK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018