SANAM SOROUDI DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001713

License Status

EXPIRED

Business

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

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

08/05/2009