PETER FIRAS HAZIM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000832

License Status

NOT RENEWED

Business

First Name

PETER

Middle

FIRAS

Last Name

HAZIM

Business Name

PETER FIRAS HAZIM

Original Issue Date

05/04/1995

Effective Date

05/04/1995

Expiration Date

06/30/1997

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Prosthodontics

Ever Disciplined

LastModifiedDate

10/12/2005