MANJARI MANOHARAN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001181

License Status

NOT RENEWED

Business

First Name

MANJARI

Last Name

MANOHARAN

Suffix

DMD

Business Name

MANJARI MANOHARAN DMD

Original Issue Date

07/13/1999

Effective Date

07/13/1999

Expiration Date

06/30/2000

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005