MARZIYEH KHODABAKHSH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031958

License Status

NOT RENEWED

Business

First Name

MARZIYEH

Last Name

KHODABAKHSH

Business Name

MARZIYEH KHODABAKHSH

Original Issue Date

01/05/2019

Effective Date

01/05/2019

Expiration Date

01/31/2022

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/09/2022