EMAD GUS KHALIFA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002088

License Status

NOT RENEWED

Business

First Name

EMAD

Middle

GUS

Last Name

KHALIFA

Suffix

DDS

Business Name

EMAD GUS KHALIFA DDS

Original Issue Date

01/05/2004

Effective Date

01/05/2004

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

Endodontics

Ever Disciplined

LastModifiedDate

11/08/2006