GHASSAN SOURI - Dentist License in Illinois | # 018000402

GHASSAN SOURI

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000402

License Status

NOT RENEWED

Business

N

First Name

GHASSAN

Last Name

SOURI

Business Name

GHASSAN SOURI

Original Issue Date

01/11/1990

Effective Date

01/11/1990

Expiration Date

06/30/1991

State

IL

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

N

LastModifiedDate

07/30/2018