THARANI THEIVAKUMAR DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032329

License Status

NOT RENEWED

Business

Title

DMD

First Name

THARANI

Last Name

THEIVAKUMAR

Business Name

THARANI THEIVAKUMAR DMD

Original Issue Date

08/07/2019

Effective Date

08/07/2019

Expiration Date

01/31/2022

City

LISLE

State

Zip

60532

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/09/2022