REVATHI SHEKAR MDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000246

License Status

NOT RENEWED

Business

Title

MDS

First Name

REVATHI

Last Name

SHEKAR

Business Name

REVATHI SHEKAR MDS

Original Issue Date

04/29/2019

Effective Date

06/09/2022

Expiration Date

09/30/2024

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

02/04/2025