NOVIN PISHEVAR DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****60

License Status

ACTIVE

Business

Title

DMD

First Name

NOVIN

Last Name

PISHEVAR

Business Name

NOVIN PISHEVAR DMD

Original Issue Date

03/11/2022

Effective Date

06/01/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61107

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/01/2024