BITA MEHDINEJAD FAYZ DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000400

License Status

NOT RENEWED

Business

First Name

BITA MEHDINEJAD

Last Name

FAYZ

Suffix

DDS

Business Name

BITA MEHDINEJAD FAYZ DDS

Original Issue Date

11/21/1989

Effective Date

11/21/1989

Expiration Date

11/17/1991

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Periodontics

Ever Disciplined

LastModifiedDate

10/12/2005