KAMRAN EBADI-TEHRANI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****20

License Status

NOT RENEWED

Business

First Name

KAMRAN

Last Name

EBADI-TEHRANI

Business Name

KAMRAN EBADI-TEHRANI

Original Issue Date

06/14/1996

Effective Date

06/14/1996

Expiration Date

09/30/1996

City

SKOKIE

State

Zip

60077

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/13/2005