HOOMAN ABDOLISERESHKI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

NOT RENEWED

Business

Title

DDS

First Name

HOOMAN

Last Name

ABDOLISERESHKI

Business Name

HOOMAN ABDOLISERESHKI DDS

Original Issue Date

02/09/2015

Effective Date

11/30/2015

Expiration Date

09/30/2018

City

EAST SAINT LOUIS

State

Zip

62205

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/31/2018