TAMAR MIZRAHI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000934

License Status

NOT RENEWED

Business

First Name

TAMAR

Last Name

MIZRAHI

Suffix

DDS

Business Name

TAMAR MIZRAHI DDS

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