MARY A AFZALI - Dentist License in Illinois | # 019022130

MARY A AFZALI

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019022130

License Status

NOT RENEWED

Business

N

First Name

MARY A

Last Name

AFZALI

Business Name

MARY A AFZALI

Original Issue Date

08/04/1990

Effective Date

09/18/2012

Expiration Date

09/30/2015

State

IL

Ever Disciplined

N

LastModifiedDate

02/08/2016