SHAHRZAD SARRAM - Dentist License in Illinois | # 018000680

SHAHRZAD SARRAM

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000680

License Status

NOT RENEWED

Business

N

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

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005