OMAR A BAWAZEER - Dentist License in Illinois | # 018001326

OMAR A BAWAZEER

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001326

License Status

EXPIRED

Business

N

First Name

OMAR

Middle

A

Last Name

BAWAZEER

Business Name

OMAR A BAWAZEER

Original Issue Date

03/13/2002

Effective Date

03/13/2002

Expiration Date

05/30/2005

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

10/12/2005