BARZIN T MASSARAT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****75

License Status

NOT RENEWED

Business

First Name

BARZIN T

Last Name

MASSARAT

Business Name

BARZIN T MASSARAT

Original Issue Date

11/15/1989

Effective Date

11/15/1989

Expiration Date

09/30/1992

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005