SHAHAD KH ALSHAMALI - Dentist License in Illinois | # 018002006

SHAHAD KH ALSHAMALI

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002006

License Status

EXPIRED

Business

N

First Name

SHAHAD

Middle

KH

Last Name

ALSHAMALI

Business Name

SHAHAD KH ALSHAMALI

Original Issue Date

06/28/2016

Effective Date

07/01/2016

Expiration Date

06/30/2018

State

IL

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

N

LastModifiedDate

10/25/2018