RICHARD L MOUSSALLI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018663

License Status

NOT RENEWED

Business

First Name

RICHARD L

Last Name

MOUSSALLI

Business Name

RICHARD L MOUSSALLI

Original Issue Date

07/25/1983

Effective Date

07/25/1983

Expiration Date

09/30/1988

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005