CHETAN SHIVARAM - Dentist License in New Mexico | # 019025551

CHETAN SHIVARAM

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025551

License Status

NOT RENEWED

Business

N

First Name

CHETAN

Last Name

SHIVARAM

Business Name

CHETAN SHIVARAM

Original Issue Date

05/24/2001

Effective Date

09/30/2004

Expiration Date

09/30/2006

State

NM

Ever Disciplined

N

LastModifiedDate

11/08/2006