RANA SKAF - Dentist License in Illinois | # 31*****76

RANA SKAF

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****76

License Status

NOT RENEWED

Business

N

First Name

RANA

Last Name

SKAF

Business Name

RANA SKAF

Original Issue Date

12/09/2010

Effective Date

12/09/2010

Expiration Date

09/30/2012

City

OAKBROOK TERRACE

State

IL

Zip

60181

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

11/14/2012