PRASANTHI PATTABHI DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****00

License Status

NOT RENEWED

Business

Title

DMD

First Name

PRASANTHI

Last Name

PATTABHI

Business Name

PRASANTHI PATTABHI DMD

Original Issue Date

07/15/2020

Effective Date

07/15/2020

Expiration Date

01/31/2022

City

LAWRENCEVILLE

State

Zip

30044

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022