NAUSHAD R EDIBAM DMD Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001354

License Status

EXPIRED

Business

First Name

NAUSHAD

Middle

Last Name

EDIBAM

Suffix

DMD

Business Name

NAUSHAD R EDIBAM DMD

Original Issue Date

07/08/2002

Effective Date

07/08/2002

Expiration Date

06/30/2005

City

OAKBROOK TERRACE

State

Zip

60181

County

DUPAGE

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/12/2005