SAMAN R GHARIB DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****56

License Status

NOT RENEWED

Business

First Name

SAMAN R

Last Name

GHARIB

Suffix

DMD

Business Name

SAMAN R GHARIB DMD

Original Issue Date

12/07/2006

Effective Date

12/07/2006

Expiration Date

09/30/2009

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009