AZADEH AMIN Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000140

License Status

EXPIRED

Business

First Name

AZADEH

Last Name

AMIN

Business Name

AZADEH AMIN

Original Issue Date

04/17/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

08/29/2012