AMENEH MOHSENIAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****54

License Status

NOT RENEWED

Business

First Name

AMENEH

Last Name

MOHSENIAN

Suffix

DDS

Business Name

AMENEH MOHSENIAN DDS

Original Issue Date

02/07/2002

Effective Date

02/07/2002

Expiration Date

09/30/2004

City

NAPERVILLE

State

Zip

60565

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005