KOUSHAN H AZAD DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026920

License Status

ACTIVE

Business

First Name

KOUSHAN

Middle

Last Name

AZAD

Suffix

DMD

Business Name

KOUSHAN H AZAD DMD

Original Issue Date

12/02/2005

Effective Date

09/27/2024

Expiration Date

09/30/2027

City

LOMPOC

State

Zip

93436

Ever Disciplined

LastModifiedDate

09/27/2024