EREZ NOSRATI DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000826

License Status

NOT RENEWED

Business

Title

DMD

First Name

EREZ

Last Name

NOSRATI

Business Name

EREZ NOSRATI DMD

Original Issue Date

10/03/2011

Effective Date

09/22/2015

Expiration Date

09/30/2018

City

SAN DIEGO

State

Zip

92130

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

10/31/2018