SURENDRA REDDY MANDAPATI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032588

License Status

NOT RENEWED

Business

Title

DDS

First Name

SURENDRA REDDY

Last Name

MANDAPATI

Business Name

SURENDRA REDDY MANDAPATI DDS

Original Issue Date

05/27/2020

Effective Date

05/27/2020

Expiration Date

01/31/2022

City

MANCHESTER

State

Zip

06042

Ever Disciplined

LastModifiedDate

05/09/2022