DHIVYALAKSHMI MANAVAZHAGAN DDS - Dentist License in Michigan | # 31*****64

DHIVYALAKSHMI MANAVAZHAGAN DDS

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

ACTIVE

Business

N

Title

DDS

First Name

DHIVYALAKSHMI

Last Name

MANAVAZHAGAN

Business Name

DHIVYALAKSHMI MANAVAZHAGAN DDS

Original Issue Date

12/11/2024

Effective Date

12/11/2024

Expiration Date

09/30/2027

State

MI

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

02/24/2025