ROKHSAREH HASSANZADEHMAHAEI DMD Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002046

License Status

CANCELLED

Business

Title

DMD

First Name

ROKHSAREH

Last Name

HASSANZADEHMAHAEI

Business Name

ROKHSAREH HASSANZADEHMAHAEI DMD

Original Issue Date

08/08/2017

Effective Date

06/19/2017

Expiration Date

06/19/2020

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Prosthodontics

Ever Disciplined

LastModifiedDate

08/08/2017