FIDI RUNTHA PAR Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020018768

License Status

ACTIVE

Business

First Name

FIDI

Middle

RUNTHA

Last Name

PAR

Business Name

FIDI RUNTHA PAR

Original Issue Date

11/21/2025

Effective Date

11/21/2025

Expiration Date

09/30/2027

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

08/19/2025