MOHAMMAD AMIN KHOSHNEVISAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001949

License Status

NOT RENEWED

Business

First Name

MOHAMMAD

Middle

AMIN

Last Name

KHOSHNEVISAN

Business Name

MOHAMMAD AMIN KHOSHNEVISAN

Original Issue Date

06/08/2015

Effective Date

07/01/2015

Expiration Date

06/30/2016

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

03/09/2017