MARA K GANIM DMD - Dentist License in Illinois | # 021002984

MARA K GANIM DMD

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002984

License Status

ACTIVE

Business

N

Title

DMD

First Name

MARA

Middle

K

Last Name

GANIM

Business Name

MARA K GANIM DMD

Original Issue Date

09/09/2019

Effective Date

09/03/2024

Expiration Date

09/30/2027

State

IL

Specialty/Qualifier

PEDIATRIC DENTIST

Ever Disciplined

N

LastModifiedDate

09/03/2024