HERVE YVES SROUSSI DMD Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000107

License Status

EXPIRED

Business

First Name

HERVE

Middle

YVES

Last Name

SROUSSI

Suffix

DMD

Business Name

HERVE YVES SROUSSI DMD

Original Issue Date

01/27/2005

Effective Date

10/01/2014

Expiration Date

10/01/2017

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

01/04/2018