INSIA FATEMA VIRJI Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002090

License Status

CANCELLED

Business

First Name

INSIA

Middle

FATEMA

Last Name

VIRJI

Business Name

INSIA FATEMA VIRJI

Original Issue Date

08/16/2018

Effective Date

08/13/2018

Expiration Date

08/13/2021

City

CHICAGO

State

Zip

60621

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

08/16/2018