CARLA C COURI DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000933

License Status

NOT RENEWED

Business

First Name

CARLA C

Last Name

COURI

Suffix

DMD

Business Name

CARLA C COURI DMD

Original Issue Date

06/21/1996

Effective Date

06/21/1996

Expiration Date

06/30/1997

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005