IRENE NOSRATI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****95

License Status

NOT RENEWED

Business

Title

DDS

First Name

IRENE

Last Name

NOSRATI

Business Name

IRENE NOSRATI DDS

Original Issue Date

07/15/2011

Effective Date

09/17/2015

Expiration Date

09/30/2018

City

LA JOLLA

State

Zip

92037

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018