KEYVAN ABBASZADEH DMD - Dentist License in Illinois | # 018000883

KEYVAN ABBASZADEH DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000883

License Status

NOT RENEWED

Business

N

First Name

KEYVAN

Last Name

ABBASZADEH

Suffix

DMD

Business Name

KEYVAN ABBASZADEH DMD

Original Issue Date

08/15/1995

Effective Date

08/15/1995

Expiration Date

06/30/1999

State

IL

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

N

LastModifiedDate

10/12/2005