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Licensed Professional Information:
Dentist 2901021083

Licensee Detail

License Type:

Dentist

License Number:

2901021083

Name:

Hana SH Gadalla

License Issue Date:

08/02/2016

License Expiration Date:

08/02/2027

License Status:

Active

County:

Wayne

SPECIALTY CERTIFICATION

Specialty Certification:

Periodontics

Status:

Active

Issue Date:

08/02/2016

Expiration Date:

08/02/2027

CONTROLLED SUBSTANCE LIST

City:

Dearborn

State or Province:

Michigan

ZIP or Postal Code:

48124

CS Record Number:

5315078758

CS Status:

Active

CS Expiration Date:

08/02/2027

Related Records

Listed below are the records associated with

Dentist,

License Number:

2901021083

Record list

Showing 1-4 of 4

Date

Record Number

Record Type

08/02/2016

2901021083

Dentist License

06/04/2024

COM24-003661

Complaint

10/14/2024

COM24-006952

Complaint

12/20/2024

29-24-005004

Enforcement

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Licensed Professional Information: Dentist 2901021083

Disciplinary Action(s)

Licensee Detail

Related Records

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Licensed Professional Information:
Dentist 2901021083