ANUSHA KOTHA Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031954

License Status

INACTIVE

Business

First Name

ANUSHA

Last Name

KOTHA

Business Name

ANUSHA KOTHA

Original Issue Date

01/03/2019

Effective Date

01/03/2019

Expiration Date

09/30/2021

City

PHOENIX

State

Zip

85024

Ever Disciplined

LastModifiedDate

06/27/2018