FADI A FARSAKH DMD Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002176

License Status

EXPIRED

Business

Title

DMD

First Name

FADI

Middle

Last Name

FARSAKH

Business Name

FADI A FARSAKH DMD

Original Issue Date

06/03/2021

Effective Date

07/01/2021

Expiration Date

06/30/2022

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

11/28/2022