Mitra A Derakhshan Dmd

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

019027587

Status

Expired (Not Renewed)

First issued

March 24, 2008

Expired

September 30, 2012

License holder

Mitra A Derakhshan Dmd

Entity type

Individual

Classifications

• Licensed Dentist (Dental) Dental

More from the license record

Current term began

08/26/2009

Other Illinois licenses under this name

• IL
  Mitra A Derakhshan Dmd

  License 31*****41

  Licensed Dentist Controlled Substance (Dental)
  Expired

  Chicago, IL

  Expired Sep 30, 2009

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