MARMAR MODARRESSI DDS - Dentist License in Illinois | # 137000830

MARMAR MODARRESSI DDS

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000830

License Status

ACTIVE

Business

N

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

State

IL

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

N

LastModifiedDate

06/13/2024