TOURADJ MOSTAFA AMELI DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****93

License Status

NOT RENEWED

Business

Title

DMD

First Name

TOURADJ

Middle

MOSTAFA

Last Name

AMELI

Business Name

TOURADJ MOSTAFA AMELI DMD

Original Issue Date

02/15/2012

Effective Date

02/15/2012

Expiration Date

09/30/2012

City

WESTMONT

State

Zip

60559

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012