MIRETTE BOUSHRA DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032069

License Status

NOT RENEWED

Business

Title

DMD

First Name

MIRETTE

Last Name

BOUSHRA

Business Name

MIRETTE BOUSHRA DMD

Original Issue Date

05/21/2019

Effective Date

12/16/2021

Expiration Date

09/30/2024

City

ALEXANDRIA

State

Zip

22314

Ever Disciplined

LastModifiedDate

02/04/2025