DEEPA SUSEEL SREENIVASAN Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001284

License Status

EXPIRED

Business

First Name

DEEPA

Middle

SUSEEL

Last Name

SREENIVASAN

Business Name

DEEPA SUSEEL SREENIVASAN

Original Issue Date

06/28/2001

Effective Date

06/28/2001

Expiration Date

06/30/2003

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

LastModifiedDate

07/30/2018