AISHWARYA SURENDRA KUDAV Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****63

License Status

ACTIVE

Business

First Name

AISHWARYA

Middle

SURENDRA

Last Name

KUDAV

Business Name

AISHWARYA SURENDRA KUDAV

Original Issue Date

08/25/2021

Effective Date

08/22/2024

Expiration Date

09/30/2027

City

FRESNO

State

Zip

93720

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/22/2024