SHABNAM PARAKHOODI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001523

License Status

NOT RENEWED

Business

First Name

SHABNAM

Last Name

PARAKHOODI

Suffix

DDS

Business Name

SHABNAM PARAKHOODI DDS

Original Issue Date

10/13/2004

Effective Date

10/13/2004

Expiration Date

08/31/2005

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

LastModifiedDate

10/12/2005