MONA A ALSANE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001315

License Status

NOT RENEWED

Business

First Name

MONA

Middle

Last Name

ALSANE

Business Name

MONA A ALSANE

Original Issue Date

11/26/2001

Effective Date

11/26/2001

Expiration Date

06/30/2004

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

LastModifiedDate

07/30/2018