BHARATHI GORANTLA - Dentist License in Michigan | # 019031024

BHARATHI GORANTLA

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031024

License Status

INACTIVE

Business

N

First Name

BHARATHI

Last Name

GORANTLA

Business Name

BHARATHI GORANTLA

Original Issue Date

01/26/2017

Effective Date

08/23/2018

Expiration Date

09/30/2021

State

MI

Ever Disciplined

N

LastModifiedDate

08/23/2018