AHMED IBRAHIM MASOUD - Dentist License in Illinois | # 018001789

AHMED IBRAHIM MASOUD

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001789

License Status

EXPIRED

Business

N

First Name

AHMED

Middle

IBRAHIM

Last Name

MASOUD

Business Name

AHMED IBRAHIM MASOUD

Original Issue Date

09/09/2010

Effective Date

09/09/2010

Expiration Date

05/30/2013

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

10/07/2013