SURESH KUMAR VARMA VEGESANA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****16

License Status

NOT RENEWED

Business

First Name

SURESH KUMAR

Middle

VARMA

Last Name

VEGESANA

Suffix

DDS

Business Name

SURESH KUMAR VARMA VEGESANA DDS

Original Issue Date

07/08/2010

Effective Date

07/08/2010

Expiration Date

09/30/2012

City

PEORIA

State

Zip

61615

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012