KHALDOUN M TARABIN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024988

License Status

NOT RENEWED

Business

First Name

KHALDOUN

Middle

Last Name

TARABIN

Suffix

DMD

Business Name

KHALDOUN M TARABIN DMD

Original Issue Date

04/26/1999

Effective Date

04/26/1999

Expiration Date

09/30/2002

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005