KAVEH ANDREW GHABOUSSI DMD - Dentist License in Illinois | # 019025619

KAVEH ANDREW GHABOUSSI DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025619

License Status

NOT RENEWED

Business

N

First Name

KAVEH

Middle

ANDREW

Last Name

GHABOUSSI

Suffix

DMD

Business Name

KAVEH ANDREW GHABOUSSI DMD

Original Issue Date

08/02/2001

Effective Date

08/02/2001

Expiration Date

09/30/2002

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005