MARYANA FAYEK KIROLOS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****32

License Status

NOT RENEWED

Business

Title

DDS

First Name

MARYANA

Middle

FAYEK

Last Name

KIROLOS

Business Name

MARYANA FAYEK KIROLOS DDS

Original Issue Date

07/26/2011

Effective Date

07/17/2012

Expiration Date

09/30/2015

City

EAST SAINT LOUIS

State

Zip

62205

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016