ANIL PRAKASH GUDAPATI - Dentist License in Pennsylvania | # 019025970

ANIL PRAKASH GUDAPATI

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025970

License Status

INACTIVE

Business

N

First Name

ANIL

Middle

PRAKASH

Last Name

GUDAPATI

Business Name

ANIL PRAKASH GUDAPATI

Original Issue Date

09/18/2002

Effective Date

09/18/2002

Expiration Date

09/30/2004

State

PA

Ever Disciplined

N

LastModifiedDate

10/17/2005