THAMER A AL-KHADRA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001089

License Status

NOT RENEWED

Business

First Name

THAMER

Middle

Last Name

AL-KHADRA

Business Name

THAMER A AL-KHADRA

Original Issue Date

07/01/1997

Effective Date

07/01/1997

Expiration Date

07/30/2000

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

LastModifiedDate

07/30/2018