MICHEL ISAAC HAKIM - Dentist License in Illinois | # 018001344

MICHEL ISAAC HAKIM

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001344

License Status

EXPIRED

Business

N

First Name

MICHEL

Middle

ISAAC

Last Name

HAKIM

Business Name

MICHEL ISAAC HAKIM

Original Issue Date

06/19/2002

Effective Date

06/19/2002

Expiration Date

06/30/2004

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005