KAVEH ANDREW GHABOUSSI DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025619

License Status

NOT RENEWED

Business

First Name

KAVEH

Middle

ANDREW

Last Name

GHABOUSSI

Suffix

DMD

Business Name

KAVEH ANDREW GHABOUSSI DMD

Original Issue Date

08/02/2001

Effective Date

08/02/2001

Expiration Date

09/30/2002

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005