NIVIEN MASOUD DMD - Dentist License in Illinois | # 020015459

NIVIEN MASOUD DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015459

License Status

NOT RENEWED

Business

N

Title

DMD

First Name

NIVIEN

Last Name

MASOUD

Business Name

NIVIEN MASOUD DMD

Original Issue Date

06/29/2016

Effective Date

06/29/2016

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

10/31/2018