BARZIN T MASSARAT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000340

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

LastModifiedDate

10/12/2005