THAER ALI DAIFALLAH DDS - Dentist License in Illinois | # 021002632

THAER ALI DAIFALLAH DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002632

License Status

NOT RENEWED

Business

N

Title

DDS

First Name

THAER

Middle

ALI

Last Name

DAIFALLAH

Business Name

THAER ALI DAIFALLAH DDS

Original Issue Date

11/17/2014

Effective Date

11/17/2014

Expiration Date

09/30/2015

State

IL

Specialty/Qualifier

ORAL AND MAXILLOFACIAL SURGERY

Ever Disciplined

N

LastModifiedDate

02/08/2016