THAER ALI DAIFALLAH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029712

License Status

NOT RENEWED

Business

Title

DDS

First Name

THAER

Middle

ALI

Last Name

DAIFALLAH

Business Name

THAER ALI DAIFALLAH DDS

Original Issue Date

02/20/2014

Effective Date

02/20/2014

Expiration Date

09/30/2015

City

OVERLAND PARK

State

Zip

66213

County

KANSAS

Ever Disciplined

LastModifiedDate

02/08/2016