NIVIEN MASOUD DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015459

License Status

NOT RENEWED

Business

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

City

PALOS HILLS

State

Zip

60465

County

COOK

Ever Disciplined

LastModifiedDate

10/31/2018