KEYVAN ABBASZADEH DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000634

License Status

NOT RENEWED

Business

First Name

KEYVAN

Last Name

ABBASZADEH

Suffix

DMD

Business Name

KEYVAN ABBASZADEH DMD

Original Issue Date

10/21/2004

Effective Date

09/20/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

DEEP SEDATION AND GENERAL ANESTHESIA

Ever Disciplined

LastModifiedDate

02/08/2016