SAMEH EMAD AZAB DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028686

License Status

INACTIVE

Business

Title

DDS

First Name

SAMEH

Middle

EMAD

Last Name

AZAB

Business Name

SAMEH EMAD AZAB DDS

Original Issue Date

06/23/2011

Effective Date

07/30/2018

Expiration Date

12/31/2021

City

RACINE

State

Zip

53406

County

WISCONSIN

Ever Disciplined

LastModifiedDate

12/28/2021