VIDHYA DEVI SENTHILATHIBAN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****32

License Status

ACTIVE

Business

First Name

VIDHYA

Middle

DEVI

Last Name

SENTHILATHIBAN

Business Name

VIDHYA DEVI SENTHILATHIBAN

Original Issue Date

02/20/2020

Effective Date

05/24/2024

Expiration Date

09/30/2027

City

IRVINE

State

Zip

92618

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/24/2024