PEYMAN HEDAYATI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000885

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

LastModifiedDate

10/12/2005