SIVAKUMAR SREENIVASAN DMD - Dentist License in Illinois | # 137000371

SIVAKUMAR SREENIVASAN DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000371

License Status

NOT RENEWED

Business

N

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

State

IL

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

N

LastModifiedDate

10/13/2005