MOHAMED TAREK A OMRAN BDS - Dentist License in Illinois | # 136000141

MOHAMED TAREK A OMRAN BDS

Business Entity

EXPIRED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000141

License Status

EXPIRED

Business

N

Title

BDS

First Name

MOHAMED TAREK

Middle

A

Last Name

OMRAN

Business Name

MOHAMED TAREK A OMRAN BDS

Original Issue Date

06/18/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

08/29/2012