MARYAM GHEISARIFAR Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019033384

License Status

ACTIVE

Business

First Name

MARYAM

Last Name

GHEISARIFAR

Business Name

MARYAM GHEISARIFAR

Original Issue Date

08/18/2021

Effective Date

06/18/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

06/20/2024