AYESHA A SULTAN - Dentist License in Pennsylvania | # 31*****13

AYESHA A SULTAN

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****13

License Status

NOT RENEWED

Business

N

First Name

AYESHA

Middle

A

Last Name

SULTAN

Business Name

AYESHA A SULTAN

Original Issue Date

08/03/2015

Effective Date

08/03/2015

Expiration Date

09/30/2018

State

PA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

10/31/2018