SHAYNA PNINA AZOULAY-AVINOAM DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002056

License Status

EXPIRED

Business

Title

DDS

First Name

SHAYNA

Middle

PNINA

Last Name

AZOULAY-AVINOAM

Business Name

SHAYNA PNINA AZOULAY-AVINOAM DDS

Original Issue Date

09/29/2017

Effective Date

08/14/2017

Expiration Date

08/14/2020

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

11/19/2020