SHRUTI A PORE DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001923

License Status

NOT RENEWED

Business

Title

DMD

First Name

SHRUTI

Middle

Last Name

PORE

Business Name

SHRUTI A PORE DMD

Original Issue Date

07/23/2014

Effective Date

07/23/2014

Expiration Date

06/30/2015

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

01/07/2016