RIYAD NOUNA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****51

License Status

ACTIVE

Business

First Name

RIYAD

Last Name

NOUNA

Business Name

RIYAD NOUNA

Original Issue Date

11/07/2018

Effective Date

08/16/2024

Expiration Date

09/30/2027

City

OTSEGO

State

Zip

49078

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/16/2024