NIVIEN MASOUD DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****61

License Status

ACTIVE

Business

Title

DMD

First Name

NIVIEN

Last Name

MASOUD

Business Name

NIVIEN MASOUD DMD

Original Issue Date

12/16/2024

Effective Date

12/16/2024

Expiration Date

09/30/2027

City

PALOS HILLS

State

Zip

60465

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2025