ATUL KUMAR UPADHYAYA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000277

License Status

ACTIVE

Business

First Name

ATUL

Middle

KUMAR

Last Name

UPADHYAYA

Business Name

ATUL KUMAR UPADHYAYA

Original Issue Date

06/18/2024

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

06/05/2024