DEEPA SUSEEL SREENIVASAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026008

License Status

NOT RENEWED

Business

First Name

DEEPA

Middle

SUSEEL

Last Name

SREENIVASAN

Business Name

DEEPA SUSEEL SREENIVASAN

Original Issue Date

10/22/2002

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

CHANDLER

State

Zip

85248

County

ARIZONA

Ever Disciplined

LastModifiedDate

01/08/2010