DEBRA Z ALAVI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****08

License Status

NOT RENEWED

Business

First Name

DEBRA Z

Last Name

ALAVI

Business Name

DEBRA Z ALAVI

Original Issue Date

01/28/1983

Effective Date

01/28/1983

Expiration Date

09/30/1984

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005