GOLNESA ROUIE MIAB DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019033266

License Status

NOT RENEWED

Business

Title

DDS

First Name

GOLNESA

Last Name

ROUIE MIAB

Business Name

GOLNESA ROUIE MIAB DDS

Original Issue Date

06/25/2021

Effective Date

06/25/2021

Expiration Date

09/30/2024

City

BALLWIN

State

Zip

63011

Ever Disciplined

LastModifiedDate

02/04/2025