SARAH ABDELAZIZ MAHMOUD DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

INACTIVE

Business

First Name

SARAH

Middle

ABDELAZIZ

Last Name

MAHMOUD

Suffix

DMD

Business Name

SARAH ABDELAZIZ MAHMOUD DMD

Original Issue Date

12/10/2015

Effective Date

11/14/2021

Expiration Date

09/30/2024

City

BROOKFIELD

State

Zip

53005

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024