MOHAMMAD AMIR KOUJAN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****60

License Status

ACTIVE

Business

First Name

MOHAMMAD

Middle

AMIR

Last Name

KOUJAN

Business Name

MOHAMMAD AMIR KOUJAN

Original Issue Date

04/07/2020

Effective Date

08/08/2024

Expiration Date

09/30/2027

City

SOUTHLAKE

State

Zip

76092

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/08/2024