SIAMAC MASHOD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020780

License Status

NOT RENEWED

Business

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

City

WOOD DALE

State

Zip

60191

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/12/2005