REZA MOVAHED DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****34

License Status

ACTIVE

Business

Title

DMD

First Name

REZA

Last Name

MOVAHED

Business Name

REZA MOVAHED DMD

Original Issue Date

02/10/2022

Effective Date

05/08/2024

Expiration Date

09/30/2027

City

COLUMBIA

State

Zip

62236

County

MONROE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/08/2024