KHALED M ABUGHAZALEH DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000857

License Status

NOT RENEWED

Business

First Name

KHALED M

Last Name

ABUGHAZALEH

Suffix

DMD

Business Name

KHALED M ABUGHAZALEH DMD

Original Issue Date

07/05/1995

Effective Date

07/05/1995

Expiration Date

06/30/1999

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/12/2005