REZA HOSSEN HESHMATI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001152

License Status

NOT RENEWED

Business

First Name

REZA

Middle

HOSSEN

Last Name

HESHMATI

Suffix

DDS

Business Name

REZA HOSSEN HESHMATI DDS

Original Issue Date

05/28/1999

Effective Date

05/28/1999

Expiration Date

06/30/2000

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Maxillofacial Prosthetics

Ever Disciplined

LastModifiedDate

10/12/2005