SHAHRZAD SARRAM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000680

License Status

NOT RENEWED

Business

First Name

SHAHRZAD

Last Name

SARRAM

Business Name

SHAHRZAD SARRAM

Original Issue Date

02/17/1993

Effective Date

02/17/1993

Expiration Date

06/30/1993

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005