HAMZA OMAR BDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****68

License Status

NOT RENEWED

Business

Title

BDS

First Name

HAMZA

Last Name

OMAR

Business Name

HAMZA OMAR BDS

Original Issue Date

10/21/2015

Effective Date

10/21/2015

Expiration Date

09/30/2018

City

MENOMONEE FALLS

State

Zip

53051

County

WISCONSIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018