SRINIVAS BABU GHANTA DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026246

License Status

INACTIVE

Business

First Name

SRINIVAS

Middle

BABU

Last Name

GHANTA

Suffix

DMD

Business Name

SRINIVAS BABU GHANTA DMD

Original Issue Date

08/25/2003

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

STUART

State

Zip

34997

Ever Disciplined

LastModifiedDate

07/24/2006