KESANET T GEBREKIDAN DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001361

License Status

EXPIRED

Business

First Name

KESANET

Middle

Last Name

GEBREKIDAN

Suffix

DDS

Business Name

KESANET T GEBREKIDAN DDS

Original Issue Date

07/18/2002

Effective Date

07/18/2002

Expiration Date

06/30/2003

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005