KHALIL TAKLA DDS - Dentist License in Illinois | # 018000944

KHALIL TAKLA DDS

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000944

License Status

EXPIRED

Business

N

First Name

KHALIL

Last Name

TAKLA

Suffix

DDS

Business Name

KHALIL TAKLA DDS

Original Issue Date

07/18/1996

Effective Date

07/18/1996

Expiration Date

07/16/1999

State

IL

Specialty/Qualifier

Prosthodontics

Ever Disciplined

N

LastModifiedDate

10/12/2005