BARZIN T MASSARAT - Dentist License in Illinois | # 018000340

BARZIN T MASSARAT

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000340

License Status

NOT RENEWED

Business

N

First Name

BARZIN T

Last Name

MASSARAT

Business Name

BARZIN T MASSARAT

Original Issue Date

06/06/1989

Effective Date

06/06/1989

Expiration Date

06/30/1990

State

IL

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

N

LastModifiedDate

10/12/2005