SAM PARTOVI DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023732

License Status

NOT RENEWED

Business

First Name

SAM

Last Name

PARTOVI

Suffix

DMD

Business Name

SAM PARTOVI DMD

Original Issue Date

11/01/1994

Effective Date

11/01/1994

Expiration Date

09/30/1998

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/12/2005