License Type:
Dentist
License Number:
2901600220
Name:
Bassam R Hanna
License Issue Date:
07/03/2019
License Expiration Date:
07/03/2028
License Status:
Active
County:
Macomb
City:
YPSILANTI TOWNSHIP
State or Province:
Michigan
ZIP or Postal Code:
48197
CS Record Number:
5315211312
CS Status:
CS Expiration Date:
State:
ZIP Code:
DC Record Number:
5307007804
DC Status:
DC Expiration Date: