MASOUD KAZEROUNZ FARZANEH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****95

License Status

NOT RENEWED

Business

First Name

MASOUD KAZEROUNZ

Last Name

FARZANEH

Suffix

DDS

Business Name

MASOUD KAZEROUNZ FARZANEH DDS

Original Issue Date

04/30/1993

Effective Date

04/30/1993

Expiration Date

09/30/1994

City

ISLAND LAKE

State

Zip

60042

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005