CYRIL PANDARAKALAM DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000163

License Status

EXPIRED

Business

First Name

CYRIL

Last Name

PANDARAKALAM

Suffix

DDS

Business Name

CYRIL PANDARAKALAM DDS

Original Issue Date

12/02/2010

Effective Date

12/02/2010

Expiration Date

06/30/2013

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/07/2013