SIAMAC MASHOD - Dentist License in Illinois | # 019020780

SIAMAC MASHOD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020780

License Status

NOT RENEWED

Business

N

First Name

SIAMAC

Last Name

MASHOD

Business Name

SIAMAC MASHOD

Original Issue Date

08/15/1987

Effective Date

08/15/1987

Expiration Date

09/30/1988

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005