INNA S ANSSARI DDS Dentist License verification

Business Entity

INOPERATIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****14

License Status

INOPERATIVE

Business

First Name

INNA S

Last Name

ANSSARI

Suffix

DDS

Business Name

INNA S ANSSARI DDS

Original Issue Date

05/25/1993

Effective Date

05/25/1993

Expiration Date

09/30/2002

City

WHEELING

State

Zip

60090

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005