LILY GHAFOURI DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****76

License Status

NOT RENEWED

Business

First Name

LILY

Last Name

GHAFOURI

Suffix

DMD

Business Name

LILY GHAFOURI DMD

Original Issue Date

07/28/2003

Effective Date

07/28/2003

Expiration Date

09/30/2004

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005