NILOUFAR GHAZAL SUTHERLAND DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****06

License Status

ACTIVE

Business

Title

DMD

First Name

NILOUFAR

Middle

GHAZAL

Last Name

SUTHERLAND

Business Name

NILOUFAR GHAZAL SUTHERLAND DMD

Original Issue Date

06/28/2017

Effective Date

05/03/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60661

County

CALIFORNIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/03/2024