SHANTHI NALLASAMY DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027422

License Status

ACTIVE

Business

First Name

SHANTHI

Last Name

NALLASAMY

Suffix

DMD

Business Name

SHANTHI NALLASAMY DMD

Original Issue Date

06/15/2007

Effective Date

09/19/2024

Expiration Date

09/30/2027

City

HAWTHORN WOODS

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

09/19/2024