RAPEPHAN NAGASIRI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000482

License Status

NOT RENEWED

Business

First Name

RAPEPHAN

Last Name

NAGASIRI

Business Name

RAPEPHAN NAGASIRI

Original Issue Date

07/23/1990

Effective Date

07/23/1990

Expiration Date

06/30/1992

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Prosthodontics

Ever Disciplined

LastModifiedDate

10/12/2005