MARYAM GOLSHANI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****62

License Status

NOT RENEWED

Business

First Name

MARYAM

Last Name

GOLSHANI

Suffix

DDS

Business Name

MARYAM GOLSHANI DDS

Original Issue Date

08/09/2011

Effective Date

12/31/2021

Expiration Date

09/30/2024

City

SANTA MONICA

State

Zip

90401

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025