SHAHLA RAVANBAKHSH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019022159

License Status

NOT RENEWED

Business

First Name

SHAHLA

Last Name

RAVANBAKHSH

Suffix

DDS

Business Name

SHAHLA RAVANBAKHSH DDS

Original Issue Date

08/22/1990

Effective Date

08/22/1990

Expiration Date

09/30/1994

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005