PRASANTHI PATTABHI DMD - Dentist License in Georgia | # 31*****00

PRASANTHI PATTABHI DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****00

License Status

NOT RENEWED

Business

N

Title

DMD

First Name

PRASANTHI

Last Name

PATTABHI

Business Name

PRASANTHI PATTABHI DMD

Original Issue Date

07/15/2020

Effective Date

07/15/2020

Expiration Date

01/31/2022

State

GA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

05/09/2022