MARIAH SIMONE BOYD DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****03

License Status

ACTIVE

Business

Title

DMD

First Name

MARIAH

Middle

SIMONE

Last Name

BOYD

Business Name

MARIAH SIMONE BOYD DMD

Original Issue Date

04/10/2014

Effective Date

06/03/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60607

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/03/2024