JAY RAM SHETTY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016219

License Status

NOT RENEWED

Business

First Name

JAY RAM

Last Name

SHETTY

Business Name

JAY RAM SHETTY

Original Issue Date

01/19/1978

Effective Date

01/19/1978

Expiration Date

09/30/2004

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005