NODESH BANGALORE SHYAMSUNDER DDS - Dentist License in Illinois | # 018001697

NODESH BANGALORE SHYAMSUNDER DDS

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001697

License Status

EXPIRED

Business

N

First Name

NODESH

Middle

BANGALORE

Last Name

SHYAMSUNDER

Suffix

DDS

Business Name

NODESH BANGALORE SHYAMSUNDER DDS

Original Issue Date

06/26/2008

Effective Date

06/26/2008

Expiration Date

05/30/2009

State

IL

Specialty/Qualifier

Prosthodontics

Ever Disciplined

N

LastModifiedDate

06/03/2009