SIVAKUMAR SREENIVASAN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000371

License Status

NOT RENEWED

Business

First Name

SIVAKUMAR

Last Name

SREENIVASAN

Suffix

DMD

Business Name

SIVAKUMAR SREENIVASAN DMD

Original Issue Date

01/10/1995

Effective Date

01/10/1995

Expiration Date

09/30/1996

City

WOOD DALE

State

Zip

60191

County

DUPAGE

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

10/13/2005