SHANTHI NALLASAMY DMD - Dentist License in Illinois | # 019027422

SHANTHI NALLASAMY DMD

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027422

License Status

ACTIVE

Business

N

First Name

SHANTHI

Last Name

NALLASAMY

Suffix

DMD

Business Name

SHANTHI NALLASAMY DMD

Original Issue Date

06/15/2007

Effective Date

09/19/2024

Expiration Date

09/30/2027

State

IL

Ever Disciplined

N

LastModifiedDate

09/19/2024