NOVIN PISHEVAR DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137001109

License Status

ACTIVE

Business

Title

DMD

First Name

NOVIN

Last Name

PISHEVAR

Business Name

NOVIN PISHEVAR DMD

Original Issue Date

08/05/2022

Effective Date

06/01/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61107

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

06/01/2024