PAYAM MATIN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028731

License Status

NOT RENEWED

Business

Title

DMD

First Name

PAYAM

Last Name

MATIN

Business Name

PAYAM MATIN DMD

Original Issue Date

07/05/2011

Effective Date

08/28/2012

Expiration Date

09/30/2015

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

02/08/2016