FARANGIS PARTOVI DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000094

License Status

EXPIRED

Business

First Name

FARANGIS

Last Name

PARTOVI

Suffix

DDS

Business Name

FARANGIS PARTOVI DDS

Original Issue Date

09/23/2003

Effective Date

09/23/2003

Expiration Date

06/30/2007

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

07/03/2007