GIRIVINOTHAN PALANISWAMY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****75

License Status

NOT RENEWED

Business

First Name

GIRIVINOTHAN

Last Name

PALANISWAMY

Suffix

DDS

Business Name

GIRIVINOTHAN PALANISWAMY DDS

Original Issue Date

06/10/2004

Effective Date

12/16/2021

Expiration Date

09/30/2024

City

RANCHO PALOS VERDES

State

Zip

90275

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025