MIMANSHA AGARWAL DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032790

License Status

NOT RENEWED

Business

Title

DMD

First Name

MIMANSHA

Last Name

AGARWAL

Business Name

MIMANSHA AGARWAL DMD

Original Issue Date

07/10/2020

Effective Date

07/10/2020

Expiration Date

01/31/2022

City

FARMINGTON

State

Zip

06032

Ever Disciplined

LastModifiedDate

05/09/2022