OSAMA A ABUALNJA - Dentist License in Illinois | # 018001532

OSAMA A ABUALNJA

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001532

License Status

EXPIRED

Business

N

First Name

OSAMA

Middle

A

Last Name

ABUALNJA

Business Name

OSAMA A ABUALNJA

Original Issue Date

12/20/2004

Effective Date

12/20/2004

Expiration Date

05/06/2007

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

05/09/2007