PEYMAN HEDAYATI - Dentist License in Illinois | # 018000885

PEYMAN HEDAYATI

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000885

License Status

NOT RENEWED

Business

N

First Name

PEYMAN

Last Name

HEDAYATI

Business Name

PEYMAN HEDAYATI

Original Issue Date

08/24/1995

Effective Date

08/24/1995

Expiration Date

06/30/1996

State

IL

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

N

LastModifiedDate

10/12/2005