GHASSAN SOURI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000402

License Status

NOT RENEWED

Business

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

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

LastModifiedDate

07/30/2018