RAJ S AMBAY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****15

License Status

NOT RENEWED

Business

First Name

RAJ S

Last Name

AMBAY

Business Name

RAJ S AMBAY

Original Issue Date

01/06/1994

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

TAMPA

State

Zip

33613

County

FLORIDA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009