JUSTIN P SALEM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000772

License Status

NOT RENEWED

Business

First Name

JUSTIN P

Last Name

SALEM

Suffix

DDS

Business Name

JUSTIN P SALEM DDS

Original Issue Date

06/24/1994

Effective Date

06/24/1994

Expiration Date

06/30/1995

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005