BAHAREH BAHRAMIAN-CHAGANI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****12

License Status

NOT RENEWED

Business

First Name

BAHAREH

Last Name

BAHRAMIAN-CHAGANI

Business Name

BAHAREH BAHRAMIAN-CHAGANI

Original Issue Date

09/16/2010

Effective Date

07/10/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016