SHRUTI A PORE DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030433

License Status

ACTIVE

Business

Title

DMD

First Name

SHRUTI

Middle

Last Name

PORE

Business Name

SHRUTI A PORE DMD

Original Issue Date

08/04/2015

Effective Date

05/14/2024

Expiration Date

09/30/2027

City

LINDENHURST

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

05/14/2024