BEHNAM JAFARNIA DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****51

License Status

NOT RENEWED

Business

Title

DMD

First Name

BEHNAM

Last Name

JAFARNIA

Business Name

BEHNAM JAFARNIA DMD

Original Issue Date

05/19/2008

Effective Date

08/31/2009

Expiration Date

09/30/2012

City

ORLAND PARK

State

Zip

60462

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012