DASHA ELLEZIAN BARSS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****88

License Status

NOT RENEWED

Business

First Name

DASHA

Middle

ELLEZIAN

Last Name

BARSS

Suffix

DDS

Business Name

DASHA ELLEZIAN BARSS DDS

Original Issue Date

12/06/2004

Effective Date

08/04/2009

Expiration Date

09/30/2012

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012