HEMA V MENON Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000116

License Status

EXPIRED

Business

First Name

HEMA

Middle

Last Name

MENON

Business Name

HEMA V MENON

Original Issue Date

05/09/2006

Effective Date

05/09/2006

Expiration Date

06/30/2009

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

07/15/2009