SANAM SOROUDI DDS - Dentist License in Illinois | # 018001713

SANAM SOROUDI DDS

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001713

License Status

EXPIRED

Business

N

Title

DDS

First Name

SANAM

Last Name

SOROUDI

Business Name

SANAM SOROUDI DDS

Original Issue Date

10/17/2008

Effective Date

07/01/2009

Expiration Date

07/31/2009

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

08/05/2009