SOLMAZ FORUTAN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****63

License Status

NOT RENEWED

Business

Title

DMD

First Name

SOLMAZ

Last Name

FORUTAN

Business Name

SOLMAZ FORUTAN DMD

Original Issue Date

07/12/2019

Effective Date

09/11/2021

Expiration Date

09/30/2024

City

SAN JOSE

State

Zip

95120

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025