RENJU ALEX THACKENKARY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028383

License Status

NOT RENEWED

Business

Title

DDS

First Name

RENJU

Middle

ALEX

Last Name

THACKENKARY

Business Name

RENJU ALEX THACKENKARY DDS

Original Issue Date

06/28/2010

Effective Date

06/27/2012

Expiration Date

09/30/2015

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

02/08/2016