BABAK EMAMI DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001307

License Status

NOT RENEWED

Business

First Name

BABAK

Last Name

EMAMI

Suffix

DMD

Business Name

BABAK EMAMI DMD

Original Issue Date

09/21/2001

Effective Date

09/21/2001

Expiration Date

06/30/2002

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

LastModifiedDate

10/12/2005