MARYAM GHEISARIFAR Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021003353

License Status

ACTIVE

Business

First Name

MARYAM

Last Name

GHEISARIFAR

Business Name

MARYAM GHEISARIFAR

Original Issue Date

08/13/2024

Effective Date

08/13/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60654

County

COOK

Specialty/Qualifier

PROSTHODONTICS

Ever Disciplined

LastModifiedDate

08/13/2024