PAMELA ARATHI SUSAI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****51

License Status

NOT RENEWED

Business

First Name

PAMELA

Middle

ARATHI

Last Name

SUSAI

Suffix

DDS

Business Name

PAMELA ARATHI SUSAI DDS

Original Issue Date

04/13/2015

Effective Date

11/12/2015

Expiration Date

09/30/2018

City

SAN LUIS OBISPO

State

Zip

93401

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/31/2018