DEEPA SUSEEL SREENIVASAN - Dentist License in Illinois | # 018001284

DEEPA SUSEEL SREENIVASAN

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001284

License Status

EXPIRED

Business

N

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

State

IL

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

N

LastModifiedDate

07/30/2018