MARYAM RUBY KISHTA DERANI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027802

License Status

NOT RENEWED

Business

Title

DDS

First Name

MARYAM

Middle

RUBY

Last Name

KISHTA DERANI

Business Name

MARYAM RUBY KISHTA DERANI DDS

Original Issue Date

08/13/2008

Effective Date

12/02/2015

Expiration Date

09/30/2018

City

GRAND BLANC

State

Zip

48439

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/31/2018