IBRAHIM A DURRA - Dentist License in Illinois | # 018001005

IBRAHIM A DURRA

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001005

License Status

NOT RENEWED

Business

N

First Name

IBRAHIM

Middle

A

Last Name

DURRA

Business Name

IBRAHIM A DURRA

Original Issue Date

03/17/1997

Effective Date

03/17/1997

Expiration Date

03/06/1999

State

IL

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

N

LastModifiedDate

07/30/2018