MIRA M ISKANDAR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000663

License Status

NOT RENEWED

Business

First Name

MIRA

Middle

Last Name

ISKANDAR

Suffix

DDS

Business Name

MIRA M ISKANDAR DDS

Original Issue Date

09/01/1992

Effective Date

09/01/1992

Expiration Date

08/24/1993

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

LastModifiedDate

10/12/2005