PRAVEENA VENKATA MUDDANA DDS - Dentist License in Wisconsin | # 019029318

PRAVEENA VENKATA MUDDANA DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029318

License Status

NOT RENEWED

Business

N

Title

DDS

First Name

PRAVEENA

Middle

VENKATA

Last Name

MUDDANA

Business Name

PRAVEENA VENKATA MUDDANA DDS

Original Issue Date

03/08/2013

Effective Date

03/08/2013

Expiration Date

09/30/2015

State

WI

Ever Disciplined

N

LastModifiedDate

02/08/2016