MIRA KAMEL EGBARIA DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001992

License Status

EXPIRED

Business

Title

DDS

First Name

MIRA

Middle

KAMEL

Last Name

EGBARIA

Business Name

MIRA KAMEL EGBARIA DDS

Original Issue Date

06/09/2016

Effective Date

06/23/2016

Expiration Date

06/30/2017

City

BARTLETT

State

Zip

60103

County

DUPAGE

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

09/19/2017