THAER ALI DAIFALLAH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002632

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60638

County

COOK

Specialty/Qualifier

ORAL AND MAXILLOFACIAL SURGERY

Ever Disciplined

LastModifiedDate

02/08/2016