VIJAYA LAKSHMI BATHINA DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029181

License Status

INACTIVE

Business

Title

DMD

First Name

VIJAYA

Middle

LAKSHMI

Last Name

BATHINA

Business Name

VIJAYA LAKSHMI BATHINA DMD

Original Issue Date

07/27/2012

Effective Date

07/27/2012

Expiration Date

09/30/2015

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/08/2015