DORIS AYMAN BASALI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****94

License Status

NOT RENEWED

Business

Title

DDS

First Name

DORIS

Middle

AYMAN

Last Name

BASALI

Business Name

DORIS AYMAN BASALI DDS

Original Issue Date

03/20/2017

Effective Date

09/05/2018

Expiration Date

01/31/2022

City

PEPPER PIKE

State

Zip

44124

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022