MOHAMMED ALSAMARRAIE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****50

License Status

ACTIVE

Business

First Name

MOHAMMED

Last Name

ALSAMARRAIE

Business Name

MOHAMMED ALSAMARRAIE

Original Issue Date

05/17/2017

Effective Date

05/15/2024

Expiration Date

09/30/2027

City

OAK CREEK

State

Zip

53154

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/15/2024