BALASUDHA BALADHANDAYUTHAM - Dentist License in New York | # 019030939

BALASUDHA BALADHANDAYUTHAM

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030939

License Status

NOT RENEWED

Business

N

First Name

BALASUDHA

Last Name

BALADHANDAYUTHAM

Business Name

BALASUDHA BALADHANDAYUTHAM

Original Issue Date

08/16/2016

Effective Date

08/16/2016

Expiration Date

09/30/2018

State

NY

Ever Disciplined

N

LastModifiedDate

10/31/2018