DEEPA SUSEEL SREENIVASAN - Dentist License in Arizona | # 019026008

DEEPA SUSEEL SREENIVASAN

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026008

License Status

NOT RENEWED

Business

N

First Name

DEEPA

Middle

SUSEEL

Last Name

SREENIVASAN

Business Name

DEEPA SUSEEL SREENIVASAN

Original Issue Date

10/22/2002

Effective Date

10/01/2006

Expiration Date

09/30/2009

State

AZ

Ever Disciplined

N

LastModifiedDate

01/08/2010