ANUPAMA SANGADALA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****78

License Status

NOT RENEWED

Business

Title

DDS

First Name

ANUPAMA

Last Name

SANGADALA

Business Name

ANUPAMA SANGADALA DDS

Original Issue Date

08/07/2017

Effective Date

08/07/2017

Expiration Date

09/30/2018

City

MARIETTA

State

Zip

30064

County

GEORGIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018