EREZ NOSRATI DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****37

License Status

NOT RENEWED

Business

Title

DMD

First Name

EREZ

Last Name

NOSRATI

Business Name

EREZ NOSRATI DMD

Original Issue Date

07/26/2011

Effective Date

08/29/2018

Expiration Date

01/31/2022

City

SAN DIEGO

State

Zip

92130

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022