PUSHPAK NARAYANA - Dentist License in New Jersey | # 31*****31

PUSHPAK NARAYANA

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****31

License Status

NOT RENEWED

Business

N

First Name

PUSHPAK

Last Name

NARAYANA

Business Name

PUSHPAK NARAYANA

Original Issue Date

09/04/2012

Effective Date

09/04/2012

Expiration Date

09/30/2015

State

NJ

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

IV

Ever Disciplined

N

LastModifiedDate

02/08/2016