SHRUTI A PORE DMD - Dentist License in Illinois | # 018001923

SHRUTI A PORE DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001923

License Status

NOT RENEWED

Business

N

Title

DMD

First Name

SHRUTI

Middle

A

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

State

IL

Ever Disciplined

N

LastModifiedDate

01/07/2016