IBRAHIM A DURRA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001005

License Status

NOT RENEWED

Business

First Name

IBRAHIM

Middle

Last Name

DURRA

Business Name

IBRAHIM A DURRA

Original Issue Date

03/17/1997

Effective Date

03/17/1997

Expiration Date

03/06/1999

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

LastModifiedDate

07/30/2018