MASOOD SIRJANI Dentist License verification

Business Entity

INOPERATIVE

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001810

License Status

INOPERATIVE

Business

First Name

MASOOD

Last Name

SIRJANI

Business Name

MASOOD SIRJANI

Original Issue Date

06/23/2011

Effective Date

06/20/2011

Expiration Date

06/30/2012

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

06/23/2011