SHAHRBANOO FADAVI Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001255

License Status

ACTIVE

Business

First Name

SHAHRBANOO

Last Name

FADAVI

Business Name

SHAHRBANOO FADAVI

Original Issue Date

08/19/1985

Effective Date

06/16/2024

Expiration Date

09/30/2027

City

SKOKIE

State

Zip

60077

County

COOK

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

LastModifiedDate

06/16/2024