PRADEEPA PADMANABHAM BDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028127

License Status

NOT RENEWED

Business

Title

BDS

First Name

PRADEEPA

Last Name

PADMANABHAM

Business Name

PRADEEPA PADMANABHAM BDS

Original Issue Date

08/27/2009

Effective Date

08/27/2009

Expiration Date

09/30/2012

City

NEWINGTON

State

Zip

06111

County

CONNECTICUT

Ever Disciplined

LastModifiedDate

11/14/2012