CISSY KANNA FURUSHO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000928

License Status

NOT RENEWED

Business

First Name

CISSY KANNA

Last Name

FURUSHO

Suffix

DDS

Business Name

CISSY KANNA FURUSHO DDS

Original Issue Date

06/08/1996

Effective Date

06/08/1996

Expiration Date

06/30/1998

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

LastModifiedDate

07/30/2018