NAVID KIA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000854

License Status

NOT RENEWED

Business

First Name

NAVID

Last Name

KIA

Business Name

NAVID KIA

Original Issue Date

06/29/1995

Effective Date

06/29/1995

Expiration Date

06/30/1996

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

LastModifiedDate

10/12/2005