RAMIN A MEDHAT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****42

License Status

NOT RENEWED

Business

First Name

RAMIN

Middle

Last Name

MEDHAT

Suffix

DDS

Business Name

RAMIN A MEDHAT DDS

Original Issue Date

09/28/2005

Effective Date

06/04/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60646

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012