LAKSHMI J IMMADI DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****68

License Status

NOT RENEWED

Business

First Name

LAKSHMI

Middle

Last Name

IMMADI

Suffix

DMD

Business Name

LAKSHMI J IMMADI DMD

Original Issue Date

04/13/2015

Effective Date

04/13/2015

Expiration Date

09/30/2015

City

TAMPA

State

Zip

33619

County

FLORIDA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016