SHAHRBANOO FADAVI - Dentist License in Illinois | # 021001255

SHAHRBANOO FADAVI

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001255

License Status

ACTIVE

Business

N

First Name

SHAHRBANOO

Last Name

FADAVI

Business Name

SHAHRBANOO FADAVI

Original Issue Date

08/19/1985

Effective Date

06/16/2024

Expiration Date

09/30/2027

State

IL

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

N

LastModifiedDate

06/16/2024