AFAQ M KHEIRI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026552

License Status

NOT RENEWED

Business

First Name

AFAQ

Middle

Last Name

KHEIRI

Suffix

DDS

Business Name

AFAQ M KHEIRI DDS

Original Issue Date

08/19/2004

Effective Date

06/04/2009

Expiration Date

09/30/2012

City

WESTFIELD

State

Zip

46074

County

INDIANA

Ever Disciplined

LastModifiedDate

11/14/2012