ALEX A TAVASOLI DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019034424

License Status

NOT RENEWED

Business

Title

DMD

First Name

ALEX

Middle

Last Name

TAVASOLI

Business Name

ALEX A TAVASOLI DMD

Original Issue Date

06/28/2023

Effective Date

06/28/2023

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

02/04/2025