MEGHANA STHANAM DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032195

License Status

NOT RENEWED

Business

Title

DMD

First Name

MEGHANA

Last Name

STHANAM

Business Name

MEGHANA STHANAM DMD

Original Issue Date

06/20/2019

Effective Date

06/20/2019

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

05/09/2022