RITIKA BANSAL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****25

License Status

NOT RENEWED

Business

Title

DDS

First Name

RITIKA

Last Name

BANSAL

Business Name

RITIKA BANSAL DDS

Original Issue Date

08/23/2019

Effective Date

08/23/2019

Expiration Date

01/31/2022

City

AUGUSTA

State

Zip

30907

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022