HUSAM HIWIADI DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019033617

License Status

ACTIVE

Business

Title

DMD

First Name

HUSAM

Last Name

HIWIADI

Business Name

HUSAM HIWIADI DMD

Original Issue Date

05/23/2022

Effective Date

05/03/2024

Expiration Date

09/30/2027

City

MCKINNEY

State

Zip

75070

Ever Disciplined

LastModifiedDate

06/12/2024