MIRA G DIORA DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001836

License Status

EXPIRED

Business

Title

DDS

First Name

MIRA

Middle

Last Name

DIORA

Business Name

MIRA G DIORA DDS

Original Issue Date

06/06/2012

Effective Date

06/24/2012

Expiration Date

06/30/2013

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/07/2013