AMJAD ALDALLAL DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001615

License Status

CANCELLED

Business

First Name

AMJAD

Last Name

ALDALLAL

Suffix

DDS

Business Name

AMJAD ALDALLAL DDS

Original Issue Date

10/18/2006

Effective Date

10/18/2006

Expiration Date

07/30/2009

City

CHICAGO

State

Zip

60609

County

COOK

Specialty/Qualifier

Periodontics

Ever Disciplined

LastModifiedDate

10/19/2006