TAMAR MIZRAHI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****78

License Status

NOT RENEWED

Business

First Name

TAMAR

Last Name

MIZRAHI

Suffix

DDS

Business Name

TAMAR MIZRAHI DDS

Original Issue Date

12/12/1996

Effective Date

03/11/2009

Expiration Date

09/30/2009

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009