MARZIYEH KHODABAKHSH - Dentist License in Illinois | # 019031958

MARZIYEH KHODABAKHSH

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031958

License Status

NOT RENEWED

Business

N

First Name

MARZIYEH

Last Name

KHODABAKHSH

Business Name

MARZIYEH KHODABAKHSH

Original Issue Date

01/05/2019

Effective Date

01/05/2019

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022