MONA HOVAIZI DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****24

License Status

ACTIVE

Business

Title

DMD

First Name

MONA

Last Name

HOVAIZI

Business Name

MONA HOVAIZI DMD

Original Issue Date

02/04/2022

Effective Date

09/18/2024

Expiration Date

09/30/2027

City

QUINCY

State

Zip

62305

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/18/2024