ELAHEHSADAT TABATABAINEJAD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032752

License Status

NOT RENEWED

Business

First Name

ELAHEHSADAT

Last Name

TABATABAINEJAD

Business Name

ELAHEHSADAT TABATABAINEJAD

Original Issue Date

06/29/2020

Effective Date

06/29/2020

Expiration Date

01/31/2022

City

BLOOMFIELD

State

Zip

07003

Ever Disciplined

LastModifiedDate

05/09/2022