MARYAM GHEISARIFAR - Dentist License in Illinois | # 019033384

MARYAM GHEISARIFAR

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019033384

License Status

ACTIVE

Business

N

First Name

MARYAM

Last Name

GHEISARIFAR

Business Name

MARYAM GHEISARIFAR

Original Issue Date

08/18/2021

Effective Date

06/18/2024

Expiration Date

09/30/2027

State

IL

Ever Disciplined

N

LastModifiedDate

06/20/2024