AZIZ ROMAN SUSARREY DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****27

License Status

ACTIVE

Business

Title

DMD

First Name

AZIZ

Middle

ROMAN

Last Name

SUSARREY

Business Name

AZIZ ROMAN SUSARREY DMD

Original Issue Date

06/17/2019

Effective Date

06/12/2024

Expiration Date

09/30/2027

City

LANCASTER

State

Zip

17602

County

PENNSYLVANIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/12/2024