MEHRACK KAJIAN FRARAJITABRIZI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****44

License Status

NOT RENEWED

Business

First Name

MEHRACK KAJIAN

Last Name

FRARAJITABRIZI

Business Name

MEHRACK KAJIAN FRARAJITABRIZI

Original Issue Date

09/05/1986

Effective Date

09/05/1986

Expiration Date

09/30/1998

City

WESTMONT

State

Zip

60559

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005