KHALIL TAKLA DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000944

License Status

EXPIRED

Business

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

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Prosthodontics

Ever Disciplined

LastModifiedDate

10/12/2005