SURENDRA REDDY MANDAPATI DDS - Dentist License in Connecticut | # 019032588

SURENDRA REDDY MANDAPATI DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032588

License Status

NOT RENEWED

Business

N

Title

DDS

First Name

SURENDRA REDDY

Last Name

MANDAPATI

Business Name

SURENDRA REDDY MANDAPATI DDS

Original Issue Date

05/27/2020

Effective Date

05/27/2020

Expiration Date

01/31/2022

State

CT

Ever Disciplined

N

LastModifiedDate

05/09/2022