License Type:
Dentist
License Number:
2901600140
Name:
Atheer H Fawzijassim Dr.
License Issue Date:
06/18/2019
License Expiration Date:
06/18/2028
License Status:
Active
County:
Macomb
City:
Canton
State or Province:
Michigan
ZIP or Postal Code:
48187
CS Record Number:
5315210260
CS Status:
CS Expiration Date:
State:
ZIP Code:
DC Record Number:
5307007663
DC Status:
DC Expiration Date: