PARHAM MANSOURI - Dentist License in Illinois | # 136000098

PARHAM MANSOURI

Business Entity

EXPIRED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000098

License Status

EXPIRED

Business

N

First Name

PARHAM

Last Name

MANSOURI

Business Name

PARHAM MANSOURI

Original Issue Date

07/12/2004

Effective Date

07/12/2004

Expiration Date

06/30/2006

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2006