KHALED Y SHABANY DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000997

License Status

NOT RENEWED

Business

First Name

KHALED

Middle

Last Name

SHABANY

Suffix

DMD

Business Name

KHALED Y SHABANY DMD

Original Issue Date

11/07/1996

Effective Date

11/07/1996

Expiration Date

12/31/1998

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Periodontics

Ever Disciplined

LastModifiedDate

10/12/2005