HANAN G YOUSSEF Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****89

License Status

ACTIVE

Business

First Name

HANAN

Middle

Last Name

YOUSSEF

Business Name

HANAN G YOUSSEF

Original Issue Date

06/19/2006

Effective Date

08/04/2024

Expiration Date

09/30/2027

City

MEQUON

State

Zip

53092

County

WISCONSIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/04/2024