SHAHLA RAVANBAKHSH DDS - Dentist License in Illinois | # 019022159

SHAHLA RAVANBAKHSH DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019022159

License Status

NOT RENEWED

Business

N

First Name

SHAHLA

Last Name

RAVANBAKHSH

Suffix

DDS

Business Name

SHAHLA RAVANBAKHSH DDS

Original Issue Date

08/22/1990

Effective Date

08/22/1990

Expiration Date

09/30/1994

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005