ANJUM A ANSARI DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024945

License Status

NOT RENEWED

Business

First Name

ANJUM

Middle

Last Name

ANSARI

Suffix

DMD

Business Name

ANJUM A ANSARI DMD

Original Issue Date

02/22/1999

Effective Date

02/22/1999

Expiration Date

09/30/2004

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005