MARMAR MODARRESSI DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000830

License Status

ACTIVE

Business

Title

DDS

First Name

MARMAR

Last Name

MODARRESSI

Business Name

MARMAR MODARRESSI DDS

Original Issue Date

01/04/2012

Effective Date

06/13/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

06/13/2024