AMJAD ALDALLAL DDS - Dentist License in Illinois | # 018001615

AMJAD ALDALLAL DDS

Business Entity

CANCELLED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001615

License Status

CANCELLED

Business

N

First Name

AMJAD

Last Name

ALDALLAL

Suffix

DDS

Business Name

AMJAD ALDALLAL DDS

Original Issue Date

10/18/2006

Effective Date

10/18/2006

Expiration Date

07/30/2009

State

IL

Specialty/Qualifier

Periodontics

Ever Disciplined

N

LastModifiedDate

10/19/2006