DALIAH M SALEM DMD,MMSC Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029992

License Status

INACTIVE

Business

Title

DMD,MMSC

First Name

DALIAH

Middle

Last Name

SALEM

Business Name

DALIAH M SALEM DMD,MMSC

Original Issue Date

07/31/2014

Effective Date

06/07/2018

Expiration Date

09/30/2021

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

06/12/2018