KEYVAN ABBASZADEH DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000883

License Status

NOT RENEWED

Business

First Name

KEYVAN

Last Name

ABBASZADEH

Suffix

DMD

Business Name

KEYVAN ABBASZADEH DMD

Original Issue Date

08/15/1995

Effective Date

08/15/1995

Expiration Date

06/30/1999

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/12/2005